Reason: elevated liver enzymes LIVER: Normal liver echogenicity and echotexture. The portal vein is patent. Normal hepatopedal portal venous blood flow, 34.7 cm/s. The liver measures 17.6 cm in length.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted. Negative sonographic Murphy sign. The gallbladder wall measures 0.3 cm. The common hepatic duct measures 0.2 cm. No intrahepatic or extrahepatic biliary ductal dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: The right kidney measures 10.1 cm in length. 5.5 x 4.8 x 4.5 anechoic right renal cyst. Additional complex 2.2 x 1.9 x 2.7 cyst with multiple septations. Echogenic renal cortex. No hydronephrosis.LEFT KIDNEY: The left kidney measures 13.9 cm in length. Echogenic renal cortex. No hydronephrosis.SPLEEN: The spleen is prominent, measuring 14.0 cm in length.OTHER: No significant abnormalities noted.
Echogenic kidneys may reflect medical renal disease/parenchymal dysfunction.