Upper Abdomen

 

Upper Abdomen

LIVER:

Liver is enlarged measures 16.5 cm with raised echogenicity, smooth echotexture and regular

borders.No focal mass or cyst is seen. Intrahepatic ducts and veins are not dilated. . Portal vein

measures  0.9 cms.

GALL BLADDER:

Gall bladder is markedly distended shows increased wall thickness upto 0.63 cm. Sludge is

noted. An echogenic focus is noted at the neck of G.B measures1.4 cm. No pericholecystic

fluid is noted at the time of scan. CBD . normal calibre measures 0.2 cm

PANCREAS:

It’s normal in shape and size with normal echogenicity. No focal mass, cyst or calcification seen. The

pancreatic duct is not dilated.

SPLEEN:

The size and texture are normal measures  10 cms. The outer surface is smooth.

KIDNEYS:

Both kidneys are normal in size, shape and position.Normal parenchymal thickness and texture. No

calculi or hydronephrosis is seen. Ureter not seen dilated.

Right kidney measures   10.1 cm x 3.9 cm with cortical thickness 0.8 cm

Left   kidney measures  10.3 cm x 4.6 cm with cortical thickness 0.8 cm

CONCLUSION:

• Hepatomegaly with Grade- II fatty liver

• Thick walled G.B with sludge and calculus……no pericholecystic fluid noted at the time of

scan . Cholecystitis+/-……… clinical and lab correlation is advised