59-year-old female with uptrending AST/ALT. Evaluate for hepatic abnormalities. LIVER: Coarse echogenicity of the liver measuring 25.6 cm in length. No focal hepatic lesions. Main portal vein is patent with appropriate directional flow; peak velocity measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Sludge within the gallbladder. Small amount of pericholecystic fluid. No gallbladder wall thickening. Sonographic Murphy's sign is negative. Common duct measures 2 mm in thickness. No intra-or extra hepatic biliary ductal dilatation.PANCREAS: Distal body and tail of the pancreas is obscured by overlying bowel gas. The visualized portions of the pancreas are unremarkable.RIGHT KIDNEY: Measures 12.0 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Spleen measures 10.6 cm in length and is normal in echogenicity.Left kidney is not well assessed measuring 10.9 cm in length. No definite hydronephrosis or shadowing calculi are noted.
1. Sludge within the gallbladder with small amount of pericholecystic fluid however no definite evidence of cholecystitis.2. Hepatomegaly with coarse echogenicity of the liver suggestive of parenchymal dysfunction/fatty infiltration.