53-year-old female patient with new onset liver panel abnormalities. LIVER: The liver measures 13.8 cm in length. No focal hepatic lesion is identified. Hepatic parenchymal echogenicity is increased. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 3 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 9.4 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 8.9 cm in length. No evidence of hydronephrosis.The spleen measures 7.7 cm in length.
Increased hepatic echogenicity which can be seen in the setting of hepatic steatosis/hepatic parenchymal dysfunction. No mass