Female; 67 years old. Reason: elevated LFT's; liver ultrasound History: Lymphoma and elevated LFT's LIVER: The liver measures 18.7 cm in length. The liver contour is smooth. The parenchyma is diffusely increased in echogenicity and demonstrates a coarsened echotexture. The right lobe of liver, adjacent to the gallbladder fossa is a geographic area of increased echogenicity likely represents focal fatty infiltration or fibrosis. There is no ascites.The main portal vein is patent with hepatopetal flow and a peak velocity of 0.16 m/sec.BILIARY TRACT: The gallbladder is normal in appearance. The common duct measures 3 mm in diameter. There is no intrahepatic biliary ductal dilatation.PANCREAS: The pancreas is normal in appearance. The body and tail are obscured by overlying bowel gas.SPLEEN: The spleen measures 12.6 cm in length.RIGHT KIDNEY: The right kidney measures 10.5 cm in length. The cortex is normal in echogenicity. There is minimal hydronephrosis. No shadowing stone or worrisome renal mass is identified. LEFT KIDNEY: The left kidney measures 10.9 cm in length. The cortex is normal in echogenicity. There is mild hydronephrosis. A ureteral stent is seen within the collecting system. No shadowing renal stone or worrisome mass is identified.OTHER: A ureteral stent is seen within the nondistended bladder.
1.Mild hepatomegaly.2.Increased echogenicity and coarse echotexture compatible with hepatic dysfunction/fatty infiltration.3.Bilateral hydronephrosis.