69-year-old female patient with history of intra and extrahepatic ductal dilatation. LIVER: The liver measures 16.8 cm in length and demonstrates increased parenchymal echogenicity. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.4 m/sec.GALLBLADDER, BILIARY TRACT: The gallbladder is absent. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 8 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 11.9 cm in length and demonstrates increased cortical echogenicity. There is mild right hydronephrosis.OTHER: The left kidney measures 12.3 cm in length and demonstrates increased cortical echogenicity. No evidence of hydronephrosis.The spleen measures 13.2 cm in length.
1. Hepatic steatosis.2. No intra or extra-hepatic biliary ductal dilatation.3. Mild right hydronephrosis.4. Increased renal cortical echogenicity suggestive of medical renal disease.