Reason: Evaluate for NASH, pt with persistent transaminitis History: asymptomatic LIVER: The liver measures 12.0 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.24 m/s.BILIARY TRACT: Cholelithiasis including large gallstone in the gallbladder neck without associated gallbladder wall thickening or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 2 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 7.5 cm in length. RIGHT KIDNEY: Kidney measures 8.5 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 8.8 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted.
Sonographic appearance of the liver within normal limits. Cholelithiasis.