Biliary colic LIVER: Non-cirrhotic liver morphology. Mildly increased parenchymal echogenicity. 21 cm in length. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Normal appearance of the gallbladderPANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 13.1 cm in length. The left kidney is 13.4 cm in length. No suspicious renal lesions are evident. No hydronephrosis is present.SPLEEN: 15.7 cm in length, without focal lesions evident.OTHER: No significant abnormalities noted. No significant ascites identified.
Hepatosplenomegaly with increased hepatic echogenicity, compatible with parenchymal dysfunction. 