Reason: patient w/ etoh history, elevated LFTs, INR, evaluate for cirrhosis History: elevated LFTs LIVER: The liver measures 18.0 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 0.15 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 hepatic duct measures 3 mm in diameter.PANCREAS: Not well visualized.SPLEEN: No significant abnormalities noted. The spleen measures 9.5 cm in length. RIGHT KIDNEY: Kidney measures 13.5 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 12.2 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: Trace perihepatic ascites.
Increased hepatic echogenicity suggestive of parenchymal dysfunction/fatty infiltration. Trace perihepatic ascites.