73 year-old male with shock, alcohol abuse, CAD, CHF. Evaluate for liver disease. Limited exam as patient was unable to lie in decubitus position.LIVER: Diffuse increased echogenicity of the liver measuring at least 18.2 cm in length. No focal hepatic lesions. Portal vein is patent with appropriate directional flow; peak velocity measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Normal echogenicity of the gallbladder. No gallbladder wall thickening. No pericholecystic fluid. Common hepatic duct measures 7 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Not well visualized.RIGHT KIDNEY: Right kidney measures 10.3 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Left kidney measuring 11.5 cm in length. No hydronephrosis or shadowing calculi are noted.Spleen is not well visualized.
1. Hepatomegaly with increased echogenicity suggestive of parenchymal dysfunction/fatty infiltration.2. No evidence of cholecystitis.