Female; 78 years old. Reason: 78 yo f w/ elevated lfts, concern for fatty liver vs. biliary disease History: elevated lfts LIVER: The liver is enlarged and measures 19.3 cm in length. The liver contour is smooth, the parenchyma is normal in echogenicity. No worrisome mass is identified.BILIARY TRACT: Punctate shadowing stones are seen within the gallbladder. There is no gall bladder wall thickening or pericholecystic fluid. There is mild intrahepatic biliary ductal dilatation. The common hepatic duct measures 4 mm in diameter, the common bile duct measures 10 mm in diameter. No shadowing stones are seen within the duct.PANCREAS: The head and body of the pancreas are unremarkable. The tail is obscured by overlying bowel gas.SPLEEN: The spleen measures 9.3 cm in length.KIDNEYS: The right kidney measures 10.9 centimeters in length and contains a 6 x 7 x 5 mm simple cyst. The left kidney measures 11.5 cm in length. Bilaterally there is no hydronephrosis or shadowing renal stone, the renal cortex is normal in echogenicity. OTHER: No significant abnormalities noted.
1.Hepatomegaly.2.Mild intra-and extrahepatic biliary ductal dilatation. No stones are seen within the ducts. This finding may be age-related rather than secondary to an obstructive process.