history of obesity presents for evaluation of hepatic steatosis. LIVER:Measures 11.6 cm. Mildly increased and coarse echogenicity. No intrahepatic biliary dilation, ascites, or focal mass. The portal vein is patent.GALLBLADDER, BILIARY TRACT: The gallbladder is nondistended with an anechoic lumen. The wall measures 0.2 cm. No stones, sludge, or pericholecystic fluid. The common bile duct measures 0.3 cm.PANCREAS: Evaluation the pancreas is limited due to overlying bowel gas.SPLEEN: Measures 11.6 cm without sonographic abnormalities.KIDNEYS: Right kidney measures 11.4 cm. Left kidney measures 11.1 cm. Normal echogenicity. No shadowing calculi, hydronephrosis, or focal mass. OTHER: No significant abnormality noted.
Mildly increased and coarse echogenicity of liver may reflect mild fatty infiltration.