60-year-old female patient with elevated liver enzymes. LIVER: The liver measures 19.9 cm in length and demonstrates increased parenchymal echogenicity with focal hypoechogenicity near the gallbladder. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: There are gallstones without 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 10.9 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 11.2 cm in length. No evidence of hydronephrosis.The spleen measures 7.8 cm in length.
1. Increased hepatic echogenicity consistent with hepatic steatosis with focal areas of sparing.2. Cholelithiasis without sonographic evidence of acute cholecystitis.