59-year-old male with abnormal liver function. LIVER: Liver is enlarged, measuring at least 24 cm in length and demonstrates significant and mildly heterogeneous increased attenuation due to fatty infiltration. There are areas of focal sparing about the gallbladder fossa. There is no focal hepatic abnormality. Limited color and spectral Doppler demonstrates patency and appropriate flow direction in the main portal vein.GALLBLADDER, BILIARY TRACT: Small amount of dependent sludge in the gallbladder. No gallstones or wall thickening. The biliary tract is normal in caliber.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted.OTHER: Left kidney and spleen appear unremarkable.
Irregular fatty infiltration of the liver with hepatomegaly.