Male 52 years old Reason: RUQ pain History: RUQ pain LIMITED ABDOMENLIVER: The liver has a smooth contour. Liver measures 17.2 cm in length. The parenchyma is mildly echogenic . No suspicious hepatic lesions. Main portal vein is patent.BILIARY TRACT: The gallbladder has echogenic calculi with posterior acoustic shadowing. Wall measures 4 mm in thickness. There is pericholecystic fluid. Common duct measures 4.5 mm . PANCREAS: The imaged head of the pancreas is normal. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney measures 9.9 cm. The cortex is echogenic. No shadowing calculi or hydronephrosis is present. The left kidney measures 10.2 cm. The cortex is echogenic. No shadowing calculi or hydronephrosis is present. SPLEEN: The spleen measures 9.4 cm. in length. OTHER: Trace upper abdominal ascites.
1.Findings of acute cholecystitis with gallbladder wall thickening, pericholecystic fluid and calculi.2.Findings discussed with Dr. Bass 