Male; 63 years old. Reason: elevated LFTs and concern for acute hepatitis History: see above LIVER: Hepatomegaly with the right lobe of the liver measuring 25-cm. Echogenic heterogeneous liver parenchyma. No intrahepatic biliary ductal dilation. Portal vein is patent with appropriate flow and velocity.BILIARY TRACT: Single shadowing gallstone measuring 1.5-cm. No gallbladder wall thickening or pericholecystic fluid to suggest acute cholecystitis. Normal common bile duct diameter measuring 5 mm.PANCREAS: Not visualized due to overlying bowel gas.SPLEEN: Spleen measures 13.6-cm in length. No focal splenic lesions.RIGHT KIDNEY: Right kidney measures 10-cm. Cortical thinning of the right kidney. No hydronephrosis. OTHER: Left kidney measures 9.3-cm. Cortical thinning of the left kidney. No hydronephrosis.Small amount of upper abdominal ascites.
1. Hepatomegaly with nonspecific echogenic, heterogeneous liver parenchyma, which may be due to diffuse fatty infiltration or chronic liver disease.2. Cholelithiasis.3. Ascites.