36-year-old male with history of NASH. LIVER: The liver parenchyma is moderately coarse and echogenic. It is normal in size, measuring 15.5 cm in craniocaudal dimension. No intrahepatic biliary ductal dilatation or focal lesion is identified. There is normal hepatopetal portal venous blood flow at 20 cm/sec.BILIARY TRACT: There is a normally distended gallbladder without wall thickening, pericholecystic fluid, gallstones or focal tenderness. No extrahepatic biliary ductal dilatation with the common bile duct, measuring 2 mm.PANCREAS: The suboptimally visualized pancreatic head and body are unremarkable.SPLEEN: The spleen is normal morphology, echogenicity and size, measuring 10.6 cm in length without a discrete lesion.RIGHT KIDNEY: The right kidney measured 11.3 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident. Color Doppler demonstrates hilar blood flow.OTHER: The left kidney measures 10.6 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident. Color Doppler demonstrates hilar blood flow.
Coarse and echogenic liver parenchyma compatible with diffuse fatty infiltration without a focal lesion evident.