60-year-old male with history of cirrhosis. Evaluate for lesions. LIVER: Liver measures 22.4 cm in length. There is markedly increased echogenicity consistent with fatty infiltration which diminishes the sensitivity for the detection of focal lesions. No obvious superimposed focal lesions are identified.BILIARY TRACT: Status post cholecystectomy. No biliary ductal dilation.PANCREAS: No significant abnormalities noted.SPLEEN: Measures 12.3 cm. Unremarkable in echogenicity.KIDNEY: 3.1 cm right renal cyst without septation or nodular component. No hydronephrosis. OTHER: No significant abnormalities noted.
Markedly increased hepatic echogenicity consistent with fatty infiltration, which diminishes the sensitivity for the detection of subtle lesions. Dedicated CT or MRI of the liver is recommended for future evaluation given this limitation.