61-year-old male history of alcoholism presents with abdominal pain and hematemesis. LIVER:The liver measures 17.5 cm. There is increased, coarse, heterogeneous echotexture of the liver parenchyma. No masses, ascites, or intrahepatic biliary dilation. The portal vein is patent with normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: The gallbladder wall measures 0.2 cm, negative sonographic Murphy sign, no pericholecystic fluid, no stones or sludge. The common bile duct was not well seen on the study.PANCREAS: Evaluation the pancreas is limited by overlying bowel gas.SPLEEN: The spleen measures 7.5 cm without sonographic abnormalities.KIDNEYS: The right kidney measures 10.6 cm. The cortex has normal echogenicity. No shadowing calculi, mass, or hydronephrosis. Left kidney measures proximal 0.4 cm. The cortex has normal echogenicity. No shadowing calculi, mass, or hydronephrosis. OTHER: No significant abnormality noted.
1. Increased, coarse, and heterogeneous echotexture of the liver consistent with chronic liver disease/parenchymal dysfunction. No mass or ascites.