Male 49 years old Reason: 49 year old male with history of ulcerative colitis and abnormal LFTs, evaluate for biliary ductal dilation/PSC or changes in liver architecture. History: abnormal LFTs LIVER: Liver measures 17.5 cm, enlarged. Echogenicity of the liver is slightly increased. IVC and hepatic veins are dilated likely secondary to heart failure.BILIARY TRACT: Cholelithiasis. Contracted gallbladder. No evidence of fracture or extrahepatic biliary dilatation.PANCREAS: Not well visualized due to overlying bowel gas.SPLEEN: No significant abnormalities noted. Spleen measures 9.4 cm.RIGHT KIDNEY: Shadowing hyperechoic focus in the lower pole of the left kidney likely represents a small stone. No evidence of hydronephrosis. Right kidney measures 11.5 cm. Left kidney measures 11.7 cm.OTHER: No significant abnormalities noted.
Cholelithiasis without evidence of biliary dilatation. Right nephrolithiasis.