Reason: assess for liver disease History: elevated AST and ALT LIVER: Mildly increased hepatic echogenicity. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.24 m/s.BILIARY TRACT: Layering gallbladder sludge without shadowing gallstones. No associated gallbladder wall thickening or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 12.9 cm in length. RIGHT KIDNEY: Kidney measures 10.3 cm in length. Normal echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 10.9 cm in length. Normal echotexture. No hydronephrosis.OTHER: No significant abnormalities noted.
Mildly increased hepatic echogenicity suggestive of fatty infiltration/parenchymal dysfunction.