Weight loss, extensive smoking history and elevated alkaline phosphatase LIVER: Mildly coarse liver echotexture without mass. Liver length 13.2 cmGALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Mildly echogenic parenchyma without mass, stone, or hydronephrosis. 8.5 cm in lengthOTHER: Left kidney 8 cm in length. Mildly echogenic left renal parenchyma without mass, stone, or hydronephrosis. Spleen 8.5 cm in length. No ascites
Mildly coarse liver echotexture suggestive for fatty infiltration/parenchymal dysfunction without mass or ductal dilatation. Echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction without mass, stone, or obstruction.