Female 64 years old with epigastric/RUQ pain. History of open cholecystectomy in 1970s. LIVER:The liver has a smooth contour and measures 16.3 cm in length. The parenchyma is somewhat coarse and echogenic. No focal liver lesion is identified. The main portal vein is patent with a velocity of 22.4 cm/s. There is no ascites.GALLBLADDER, BILIARY TRACT: Status post cholecystectomy. The common duct measures 4 mm in diameter. There is no intrahepatic biliary ductal dilatation.PANCREAS: The pancreatic head and body are unremarkable. The tail is obscured by overlying bowel gas.SPLEEN: The spleen measures 9.9 cm in length.KIDNEYS: The right kidney measures 11.0 cm in length and the left measures 11.2 cm. The renal cortices are normal in echogenicity. There is no shadowing renal stone, hydronephrosis or evidence of renal mass. OTHER: No significant abnormality noted.
Mild hepatomegaly and increased echogenicity of the liver parenchyma suggestive of hepatic steatosis/parenchymal dysfunction.