Female 67 years old; Reason: elevated LFT History: elevated LFT This exam was limited due to patient's intubated status.LIVER: The liver measures 18.0 cm in length. There is a slight increase in echogenicity of the liver parenchyma. No focal hepatic lesions. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow measured at 38.8 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 4.0 mm. Several subcentimeter shadowing foci seen within the gallbladder and minimal sludge. Minimal pericholecystic fluid is present. Sonographic Murphy sign was not attempted as patient was intubated. The common bile duct measures 3.5 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen was poorly visualized in this study due to patient being intubated.RIGHT KIDNEY: The right kidney measures 10.4 cm in length. The cortex has increased echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 9.8 cm in length. The cortex has increased echogenicity. No hydronephrosis, stones, or worrisome masses are seen.OTHER: No significant abnormality noted.
1. The liver has slight increase in echogenicity which is compatible with fatty infiltration/hepatocellular dysfunction.2. Cholelithiasis without overt evidence of acute cholecystitis.3. Bilaterally the kidneys have increased echogenicity which is compatible with medical renal disease.