Male 69 years old; Reason: LFT elevation of unknown etiology History: transaminase elevation LIVER: The liver measures 14.8 cm in length. There is increased and coarse echogenicity of the liver parenchyma which appears similar to the prior study. No focal hepatic lesions or ascites. No intrahepatic ductal dilation is seen. GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 2.7 mm. No stones are seen, however gallbladder sludge is noted and the gallbladder is distended. No pericholecystic fluid or wall thickening. The common bile duct measures 9.1 mm in diameter and appears unchanged in comparison to the prior study PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 10.7 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 8.9 cm in length. The cortex has increased echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 11.1 cm in length. The cortex has increased echogenicity. No hydronephrosis, stones, or worrisome masses are seen.OTHER: There is a trace right sided pleural effusion.
1. Coarse echotexture of liver appears similar to the prior study consistent with chronic liver disease / parenchyma disfunction. No focal masses, lesions, or ascites.2. Gallbladder sludge without ductal dilation or acute inflammation.3. Echogenic kidneys without hydronephrosis suggestive of chronic medical kidney disease/parenchymal dysfunction.