Female 32 years old Reason: emesis throughout pregnancy, evaluate for liver etiologies History: nausea, vomiting LIVER: Liver measures 17.2 cm in length. There is increased echogenicity of the liver suggesting fatty infiltration or diffuse hepatic dysfunction. No focal hepatic mass. Main portal vein is patent with normal directional flow and a peak velocity of 19.2 cm/s.BILIARY TRACT: No intra or extrahepatic biliary ductal dilatation. Gallbladder is normal in appearance. No gallstones. No gallbladder wall thickening. No evidence of acute inflammation. Common bile duct measures up to 6 mm, within normal limits.PANCREAS: Head of the pancreas is normal in appearance without pancreatic ductal dilatation. Body and tail of the pancreas are obscured by overlying bowel gas.SPLEEN: Spleen is normal in appearance measuring 9.5 cm.KIDNEYS: Normal cortical medullary differentiation. No hydronephrosis, shadowing calculi, or mass. Minimal fullness of the left renal pelvis. Right kidney measures 10.8 cm. Left kidney measures 12.2 cm.OTHER: No significant abnormalities noted.
Increased echogenicity of the liver suggesting fatty infiltration or diffuse hepatic dysfunction. No gallstones or acute inflammation of the gallbladder.