Reason: eval gallbladder for pathology abdomen for fluid collection History: abd pain, s/p gallbladder shunt, abd wound infection LIVER: Liver measures 14.3 cm with coarse echogenicity. Portal vein is patent with normal direction and velocity of 0.3 m/s. No suspicious hepatic mass is noted.BILIARY TRACT: Common bile duct measures 3 mm. Gallbladder wall measures 3 mm. Gallstone noted measuring 1.2 x 1.0 x 0.8 cm. No pericholecystic fluid collection. PANCREAS: Distal pancreas is obscured by overlying bowel gas. Visualized part is within normal limits.SPLEEN: Spleen measures 13.7 cm and is normal in echogenicity and configuration.KIDNEYS: Right kidney measures 8 cm with normal echogenicity and without hydronephrosis. Left kidney is not well seen. No renal calculi identified. OTHER: Survey of the right upper quadrant did not show discrete drainable fluid collection.
Gallstone noted without evidence of acute inflammation or biliary ductal dilatation. Coarse echogenic liver compatible with steatosis.