31-year-old female patient with elevated AST/ALT postpartum. Evaluate for liver parenchymal disease, obstruction. LIVER: The liver measures 19.7 cm in length. Hepatic parenchymal echogenicity is slightly increased. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 2 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 10.5 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 9.8 cm in length. No evidence of hydronephrosis.The spleen measures 10.5 cm in length.
1. Increased hepatic parenchymal echogenicity which can be seen with hepatic steatosis/hepatic parenchymal dysfunction.2. No intra- or extrahepatic biliary ductal dilatation. 