45-year-old female presents with right upper quadrant pain. Evaluate for hepatobiliary pathology. LIVER: The liver measures 16.0 cm. There is mild coarse and increased echogenicity of the hepatic parenchyma. No masses, ascites, or intrahepatic biliary dilation. The portal vein is patent.BILIARY TRACT: The gallbladder wall measures 1.0 mm. No stones or sludge is noted. The common bile duct measures 3.4 mm. No pericholecystic fluid.PANCREAS: Obscured by bowel gas.SPLEEN: The spleen measures 9.1 cm. No significant abnormalities noted.RIGHT KIDNEY: The right kidney measures 10.7 cm. The cortex has normal echogenicity. No shadowing calculi or masses noted.LEFT KIDNEY: The left kidney measures 10.6 cm. The cortex has normal echogenicity. No shadowing calculi or masses noted.OTHER: No significant abnormalities noted.
1. Mildly coarse and increased echogenicity of liver suggestive of fatty infiltration or parenchymal dysfunction. No masses or ductal dilation.