Female; 36 years old. Reason: cholecystitis? History: RUQ pain, tenderness, vomiting LIVER: Liver measures 18.7 cm in length. The liver contour is smooth, the parenchyma is normal in echogenicity. No worrisome masses identified.The main portal vein is patent and demonstrates hepatopetal flow with a peak velocity of 0.3 m/sec.BILIARY TRACT: The gallbladder is normal in appearance. There is no cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The common duct measures 0.6 cm in diameter. There is no intrahepatic biliary ductal dilatation.PANCREAS: The head and body of the pancreas are normal in appearance. The tail is obscured by overlying bowel gas.SPLEEN: The spleen measures 9.4 cm in length.RIGHT KIDNEY: The right kidney measures 10.7 cm in length. The renal cortex is normal in echogenicity. There is no hydronephrosis or shadowing renal stone. LEFT KIDNEY: The left kidney measures 10.7 cm in length. The renal cortex is normal in echogenicity. There is no hydronephrosis or shadowing renal stone.
Mild hepatomegaly but otherwise normal ultrasound right upper quadrant. Specifically there is no cholelithiasis, biliary ductal dilatation, or evidence of acute cholecystitis.