Female 53 years old; Reason: evaluate liver for chronic liver disease History: elevated INR LIVER: The liver measures 20.4 cm in length. There is mildly increased and coarse echogenicity of the liver parenchyma. No focal hepatic lesions. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow. GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 1.8 mm. Several stones are seen. No pericholecystic fluid. The common bile duct measures 5.0 mm in diameter at the maximum point. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 12.1 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 10.8 cm in length. The cortex has mildly increased echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 9.1 cm in length. The cortex has mildly increased echogenicity. No hydronephrosis, stones, or worrisome masses are seen.OTHER: No significant abnormality noted.
1. Cholelithiasis of unknown chronicity without signs of acute cholecystitis.2. Increased and coarse echogenicity of the liver parenchyma consistent with fatty liver.