56-year-old male presents with transaminitis. Evaluate for hepatic pathology. LIVER:Liver measures 15.9 cm. There is increased, coarse echogenicity. No focal mass, ascites, or intrahepatic biliary dilation. The portal vein is patent with hepatopedal flow.GALLBLADDER, BILIARY TRACT: The gallbladder is absent. The common duct measures 0.5 cm.PANCREAS: Evaluation of the pancreas is limited due to overlying bowel gas.SPLEEN: Measures 8.1 cm without sonographic abnormalities.KIDNEYS: Right kidney measures 11.8 cm. Left kidney measures 12.5 cm. Unremarkable echogenicity. No shadowing calculi, hydronephrosis, or focal mass. OTHER: No significant abnormality noted.
1. Increased, coarse echogenicity of liver consistent with chronic liver disease/parenchymal dysfunction. No mass or ascites.2. Surgical changes of prior cholecystectomy.