Female 61 years old; Reason: ? gall stones History: RUQ pain LIVER: The liver measures 17.1 cm in length. There is coarse increased echogenicity of the liver parenchyma. No focal hepatic lesions. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow measured at 21.5 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 1.8 mm. No stones are seen. No pericholecystic fluid. Negative sonographic Murphy sign. The common bile duct measures 6.6 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 9.6 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 10.1 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 11.2 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen. A left renal cyst is seen measuring 2.2 cm x 1.5 cm x 1.8 cm. This was visible on prior CT.
There is coarse increased echogenicity of the liver compatible with fatty infiltration/hepatocellular dysfunction. No worrisome masses are seen.