51-year-old female patient with transaminitis, abdominal pain. Evaluate liver and common bile duct. LIVER: The liver measures 20.8 cm in length and demonstrates increased parenchymal echogenicity. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: The gallbladder is absent. No intrahepatic biliary ductal dilatation is identified. The common duct measures up to 11 mm in diameter, appearing similar to a recent CT. The distal common bile duct is not visualized.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 9.6 cm in length. No evidence of hydronephrosis. OTHER: The left kidney is not visualized on this examination.The spleen is not visualized on this examination.
1. Hepatic steatosis. 2. Non-specific dilatation of the common bile duct, appearing similar to a recent CT; MRCP may be considered if there is clinical concern for choledocholithiasis. 