57-year-old male presents with transaminitis. Evaluate for focal hepatic lesions. LIVER:The liver measures approximately 20.8 cm. There is increased, coarse, heterogeneous echotexture of the liver parenchyma. No masses or ascites. No intrahepatic biliary dilation. The portal vein is patent with normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: The gallbladder is nondistended, the wall measures 0.17 cm. There is echogenic and dependent material within the gallbladder, likely representing sludge. No stones. Negative sonographic Murphy's sign. The common bile duct measures 0.14 cm.PANCREAS: Evaluation. There is limited due to overlying bowel gas.SPLEEN: The spleen measures 7.8 cm. No abnormalities noted.KIDNEYS: The right kidney measures 11.2 cm. The cortex has normal echogenicity. No shadowing calculi or hydronephrosis. The left kidney measures 12.0 cm. The cortex has normal echogenicity. No shadowing calculi or hydronephrosis. OTHER: No significant abnormality noted.
1. Coarse echogenic liver consistent with chronic liver disease/parenchymal dysfunction. No mass or ascites.2. Hepatomegaly.