Male; 56 years old. Reason: elevated LFTs (AST>ALT), hx EtOH abuse; eval for cirrhotic liver History: see above LIVER: Hepatomegaly with the right lobe of the liver measuring 20.4-cm in length. Diffusely coarsened echotexture of the liver, most suggestive of fatty infiltration. No focal liver lesions. No intrahepatic biliary ductal dilation. Main portal vein is patent with normal directional flow.BILIARY TRACT: Unremarkable appearance of the gallbladder. No extrahepatic biliary ductal dilation. The common bile duct measures 5 mm.PANCREAS: No gross abnormalities of the pancreatic head. The remainder of the pancreas is obscured by overlying bowel gas.SPLEEN: Spleen is 11.4-cm in length. No focal splenic lesions.RIGHT KIDNEY: Right kidney is 9.5-cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: Left kidney is 9.8-cm in length. Normal cortical echotexture. No hydronephrosis.
Hepatomegaly and fatty infiltration of the liver.