58-year-old female with history of hepatitis B. LIVER: Coarse, diffusely increased echogenicity of the liver. No focal hepatic lesion or mass. The liver measures 13.1 cm 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 24.0 cm/s.GALLBLADDER, BILIARY TRACT: The gallbladder is normal in appearance. There is no pericholecystic fluid, gallbladder wall thickening or cholelithiasis. The common bile duct measures 0.2 cm in diameter. PANCREAS: The head and proximal body of the pancreas are normal. The tail is obscured by bowel gas.SPLEEN: The spleen is normal in echogenicity and measures 5.5 cm in length. RIGHT KIDNEY: The right kidney measures 10.1 cm in length and shows normal echotexture. There is mild hydronephrosis. No mass or shadowing calculi.LEFT KIDNEY: The left kidney measures 9.4 cm in length and shows normal echotexture. There is minimal hydronephrosis. No mass or shadowing calculi.URINARY BLADDER: The urinary bladder is normal in appearance.OTHER: There is no free or loculated fluid.
Fatty infiltration of the liver. Mild right and minimal left hydronephrosis.