Elevated LFTs, assess for biliary pathology. LIVER:The liver measures 22.6 cm in length. This is enlarged. There is coarse increased echogenicity within the liver. No new worrisome masses are noted. No intrahepatic ductal dilation. No ascites. The portal vein is patent with hepatopetal flow measuring 23.6 cm/s.GALLBLADDER, BILIARY TRACT: There is sludge/debris noted within the gallbladder. No stones are visualized. The gallbladder wall measures 3 mm, this is normal. There is no pericholecystic fluid. The common bile duct measures 0.6 cm.PANCREAS: No significant abnormality noted.SPLEEN: The spleen measures 10.6 cm in length. No significant abnormalities noted.RIGHT KIDNEY: The right kidney measures 11.9 cm in length. The cortex is of normal echogenicity. There is no hydronephrosis, stones or worrisome masses noted. LEFT KIDNEY: The left kidney measures 13.1 cm in length. The cortex has normal echogenicity. There is no hydronephrosis, no stones, no worrisome masses noted.BLADDER: No significant abnormalities noted.
1. Hepatomegaly, there is also coarse increased echogenicity within the liver consistent with fatty liver/parenchymal dysfunction. No new worrisome masses, no intrahepatic ductal dilation, and no ascites.2. Sludge/debris is noted within the gallbladder, but there are no stones and no findings to suggest acute cholecystitis.