Male; 61 years old. Reason: 61 y/o M with elevated ALT, RUQ u/s requested to rule out fatty liver disease LIVER: The liver measures 15.2 cm in length. The liver contour is smooth. The parenchyma is markedly increased in echogenicity with a coarsened echotexture. There is a geographic area of sparing adjacent to gallbladder fossa. These findings limit sensitivity for identification of focal hepatic masses.The main portal vein is patent with hepatopetal flow and a peak velocity of 0.2 m/sec.BILIARY TRACT: A small amount of debris is seen layering within the dependent portions of the gallbladder. There is no gallbladder wall thickening or pericholecystic fluid. The common duct measures 0.3 cm in diameter. There is no intrahepatic biliary ductal dilatation.PANCREAS: The head and body of the pancreas are unremarkable. The tail is obscured by overlying bowel gas.SPLEEN: The spleen measures 9 .0 cm in length.KIDNEYS: The right kidney measures 11.1 cm in length, the left kidney measures 11.4 cm in length. There is no hydronephrosis or shadowing renal stone bilaterally.
Echogenic and coarse liver parenchyma compatible with hepatic steatosis.