24 year old female. Hyperbilirubinemia. Evaluate for any liver, gallbladder, or duct pathology. LIVER: Diffuse mildly increased echogenicity and coarsened echotexture of the liver consistent with hepatic steatosis/dysfunction. The liver is 16 cm in length. No focal mass. Hepatopetal portal venous flow.GALLBLADDER, BILIARY TRACT: No cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No biliary ductal dilatation. The common duct is 4 mm in diameter, within normal limits.PANCREAS: Visualized pancreatic head is normal in echogenicity. The rest of the pancreas is obscured by bowel gas.RIGHT KIDNEY: Right kidney is 10.5 cm in length. No hydronephrosis.OTHER: Spleen is 14.7 cm in length. Small splenule is noted. Left kidney is 10.5 cm in length. No hydronephrosis.
Mild increased echogenicity and coarsened echogenic of the liver consistent with hepatic steatosis/dysfunction. Mild hepatosplenomegaly.