Elevated transaminase with vomiting and nodular LIVER: Coarse echogenic liver echotexture without mass. Liver length 18 cm. Limited Doppler interrogation of the main portal vein demonstrates a patent main portal vein with normal directional flow.BILIARY TRACT: Gallbladder sludge without acute inflammation or ductal dilatationPANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. 9.3 cm in lengthRIGHT KIDNEY: No significant abnormalities noted. 10.6 cm in lengthOTHER: Left kidney 10.7 cm in length. No ascites.
Coarse echogenic liver echotexture suggestive for fatty infiltration/parenchymal dysfunction without mass or ductal dilatation. No ascites.