Female 27 years old; Reason: cholecystitis, gallstones History: pancreatitis LIVER: The liver demonstrates normal echogenicity and echotexture. No focal hepatic lesions. Hepatic length measures 17.6 cm. The main portal vein is patent with normal hepatopetal flow with a velocity of 31.6 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder is normal in echotexture with the wall measuring 2 mm. The common bile duct measures 2 mm in diameter. Sonographic Murphy's sign is negative. Trace pericholecystic fluid is present. No choledocholithiasis. No intra or extrahepatic biliary ductal dilatation identified.PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 8 cm and has a normal echotexture.KIDNEYS: The kidneys have normal corticomedullary differentiation. The right kidney measures 10.1 cm and demonstrates increased echogenicity with no hydronephrosis. Anechoic focus in the midpole of the right kidney measuring 1.9 x 1.3 x 1.5 cm compatible with a renal sinus cyst. The left kidney measures 11.6 cm and demonstrates increased echogenicity with no hydronephrosis. OTHER: No significant abnormality noted.
1.No sonographic evidence of cholelithiasis, choledocholithiasis, or acute cholecystitis.2.Increased cortical echogenicity of bilateral kidneys, compatible with medical renal disease, without evidence of hydronephrosis or shadowing calculi.