28 years old, Male, Reason: r/u infectious process in liver History: elevated transaminases, distended abdomen, severe immunocompromise Ultrasound evaluation is somewhat limited due to patient being unable to lay in a decubitus position.LIVER: The liver measures 14.5 cm in length. Diffusely increased echogenicity of the liver is consistent with fatty infiltration. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.4 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: Spleen is not well visualized. The visualized portion of the spleen measures 9.15 cm in length. RIGHT KIDNEY: Kidney measures 11.9 cm in length. Normal echotexture. Nohydronephrosis or shadowing calculus.LEFT KIDNEY: The left kidney is not well visualized. Kidney measures 12 cm in length. Normal echotexture. Left renal cyst which is difficult to fully characterize due to limited visualization measures 3.8 x 3.3 x 4.1 cm.OTHER: No significant abnormalities noted.
1.Normal gallbladder and biliary tract with no evidence of cholelithiasis or cholecystitis.2.Diffusely increased echogenicity of the liver is consistent with fatty infiltration.