35 years old, Male, Reason: 35yo male with ETOH use and low platelets, assess for cirrhosis. History: abnormal LFTs LIVER: The liver is enlarged measuring 20.2 cm in length. Increased hepatic parenchymal echogenicity suggestive of fatty infiltration. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s. No nodularity of the hepatic parenchyma to suggest cirrhosis.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 0.2 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 9.4 cm in length. RIGHT KIDNEY: Kidney measures 10.8 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 10.5 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted.
1.Hepatomegaly and increased echogenicity of the liver suggestive of fatty infiltration. No nodularity of the liver contours are widening of the fissures to suggest cirrhosis.2.Normal gallbladder and biliary tract with no evidence of cholelithiasis or cholecystitis.