21-year-old male with fever of unknown origin. LIVER: Echogenicity of the hepatic parenchyma is diffusely increased. The liver measures 23.6 centimeters in length. No dilatation or cystic changes are noted of the intrahepatic or extrahepatic biliary ducts.The main portal vein is patent with normal hepatopedal flow and velocity of 24.9 cm/s.GALLBLADDER, BILIARY TRACT: A subcentimeter gallbladder stone or polyp is noted. There is no pericholecystic fluid, gallbladder wall thickening or cholelithiasis. The common bile duct measures 0.3 cm in diameter. PANCREAS: The head and proximal body of the pancreas are normal. The tail is obscured by bowel gas.RIGHT KIDNEY: The right kidney measures 17.3 cm in length and shows normal echotexture. No mass, stone or hydronephrosis.OTHER: There is no free or loculated fluid.
Moderate hepatomegaly and fatty infiltration of the liver. A subcentimeter gallbladder stone or polyp is noted. No evidence of cholecystitis.