28 year old male patient with history of diabetes and hypertension with intermittent crampy abdominal pain after fatty food intake. Evaluate for gallstones. LIVER: The liver measures 18.1 cm in length demonstrates increased hepatic parenchymal echogenicity. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.4 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 4 mm in diameter.PANCREAS: The pancreas is poorly visualized on this examination.RIGHT KIDNEY: The right kidney measures 12.3 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 13.4 cm in length. No evidence of hydronephrosis.The spleen measures 11.6 cm in length.
1. Increased hepatic echogenicity likely secondary to hepatic steatosis/hepatic parenchymal dysfunction.2. Mild hepatomegaly.3. No cholelithiasis. 