Male; 60 years old. Reason: history of AML s/p allogeneic transplant with mid-epigastric pain since November 2014 but normal liver enzymes. Evaluate for gallbladder process History: mid-epigastric pain LIVER: The liver measures 13.3 cm in length. The liver surface is smooth, the parenchyma is increased in echogenicity. No focal mass is identified. There is no ascites.The main portal vein is patent and demonstrates a hepatopetal flow with a peak velocity of 0.2 m/sec. BILIARY TRACT: The gallbladder is normal in appearance. There is no gallbladder wall thickening or pericholecystic fluid. The common duct measures 4 mm in diameter. There is no intrahepatic biliary ductal dilatation.PANCREAS: The head and body of the pancreas are unremarkable. The tail is obscured by overlying bowel gas.SPLEEN: The spleen measures 7.9 cm in length.KIDNEYS: The right kidney measures 10.4 centimeters in length, the left kidney measures 10.4 cm in length. The renal cortex is normal in echogenicity bilaterally. There is no hydronephrosis or shadowing renal stone.
1.Echogenic liver compatible with hepatic steatosis/parenchymal dysfunction.2.No cholelithiasis or biliary ductal dilatation.