49 years old, Female, Reason: assess for ascites, any intra-abd abnormalities, h/o dermatomyositis + ILD + pulm HTN History: abd distention, volume overload 2/2 right heart failure LIVER: The liver measures 18.7 cm in length. There are regional areas of increased parenchymal echogenicity consistent with focal fatty infiltration. A focal hyperechoic area adjacent to the porta hepatis measuring 1.7 x 1.8 x 1.5 cm most likely represents focal fatty infiltration. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.3 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. Ringdown artifact from the gallbladder wall suggests cholesterol deposition. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 0.3 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 15.9 cm in length. RIGHT KIDNEY: Kidney measures 13.2 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 12.6 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted.
Regional areas of hepatic parenchymal fatty infiltration with a more focal hyperechoic focus adjacent to the porta hepatis which likely represents focal fatty infiltration.