55-year-old female presents with transaminitis. There is a clinical concern for hepatitis. Of note, this exam is limited due to body habitus and inability to optimally position the patient.LIVER:The liver measures 18.5 cm. The parenchyma is echogenic. The main portal vein is patent with normal hepatopedal flow. As above, the sensitivity of detecting focal lesions is limited in this study.GALLBLADDER, BILIARY TRACT: The gallbladder is inadequately visualized study. The gallbladder wall measures 3.2 mm. Common bile duct measures 2.1 mm.PANCREAS: Not well visualized due to overlying bowel gas.SPLEEN: The spleen was not visualized on this study.KIDNEYS: Right kidney measures 11.6 cm. Left kidney was not visualized on this study due to inability to optimally position the patient. Right kidney parenchyma mildly echogenic. No shadowing calculi, hydronephrosis, or focal mass on the right. OTHER: No significant abnormality noted.
1. Increased echogenic parenchyma of the liver consistent with chronic liver disease/parenchymal dysfunction. Sensitivity in detecting focal masses on the study is limited.2. Limited study as above due to body habitus, inability to optimally position the position, and increased echogenicity of liver parenchyma.