Reason: 43yo with h/o fatty liver with elevated liver function tests. LIVER: The liver measures 16.3 cm in length. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.24 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: The spleen is upper normal in size measuring 11.2 cm in length. RIGHT KIDNEY: Kidney measures 11.1 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 12.1 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No ascites.
Increased hepatic echogenicity suggestive of hepatic steatosis/parenchymal dysfunction without focal lesions identified.