Reason: 75 yo F with EtOH abuse presents with acute onset thrombocytopenia, evaluate for cirrhosis/liver pathology. Examination mildly limited by patient motion.LIVER: The liver measures 15.5 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 0.23 m/s.BILIARY TRACT: Gallbladder sludge and cholelithiasis without associated wall thickening or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3 mm in diameter.PANCREAS: Not well visualized.SPLEEN: No significant abnormalities noted. The spleen measures 6.7 cm in length. RIGHT KIDNEY: Kidney measures 10.2 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 11.1 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No ascites.
1.Increased hepatic echogenicity suggestive of parenchymal dysfunction/fatty infiltration.2.Cholelithiasis without evidence of acute cholecystitis or biliary ductal dilatation.