Elevated LFTs LIVER: Non-cirrhotic liver morphology. 20 cm in length. Mildly heterogeneous parenchymal echogenicity. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Mildly thickened gallbladder wall, which is nonspecific in the setting of ascites. No cholelithiasis. No sonographic Murphy's sign.PANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 6.7 cm in length. The left kidney is 7.6 cm in length. The renal parenchyma is echogenic bilaterally. Multiple simple appearing cysts are noted bilaterally. No suspicious renal lesions are evident. No hydronephrosis is present.SPLEEN: 6.2 cm in length, without focal lesions evident.OTHER: Mild amount of ascites.
1. Hepatomegaly with heterogeneous hepatic echogenicity, compatible with parenchymal dysfunction.2. Echogenic renal parenchyma without hydronephrosis, compatible with medical renal disease.3. Mild ascites