18-year-old male with history of sickle cell anemia, right upper quadrant pain LIVER: Measures 17.9 in length. Unremarkable hepatic echogenicity without discrete focal lesion. Patent portal vein with antegrade flow. BILIARY TRACT: The gallbladder is mildly distended and contains sludge as well as small stones. There is mild gallbladder wall thickening with reticulation of the pericholecystic fat. No sonographic Murphy sign was elicited during the examination. There is no biliary ductal dilation.PANCREAS: The pancreas is incompletely imaged due to bowel gas. The imaged portions of the pancreas appear unremarkable. SPLEEN: Markedly increased splenic echogenicity consistent with infarction and calcification.KIDNEY: No hydronephrosis, nephrolithiasis, or solid mass. OTHER: No significant abnormalities noted.
1.No convincing evidence of acute cholecystitis, but cholelithiasis with mild gallbladder wall thickening and pericholecystic inflammatory changes raise the question of a chronic component of inflammation. 2.Splenic infarction and calcification consistent with sickle cell anemia.