40-year-old female with abdominal distention. Elevated bilirubin. LIVER: The liver is highly echogenic which decreases penetration and visualization. This is likely due to severe fatty liver.There is again noted a non--- specific lobulated hypoechoic 2 cm mass in the right lobe which is stable. No other abnormality. Color and spectral Doppler demonstrates patency and appropriate flow direction in the main portal vein.GALLBLADDER, BILIARY TRACT: Gallbladder is collapsed and mildly thick walled. No gallstones or pericholecystic fluid. The biliary tract is normal in caliber. PANCREAS: Not visualized due to body habitus and bowel gas.RIGHT KIDNEY: No significant abnormalities noted.OTHER: Right pleural effusion.
Collapsed gallbladder without stones or pericholecystic fluid.Highly echogenic liver likely due to fatty infiltration.Stable lobulated hepatic mass.Right pleural effusion.