65-year-old female presents with transaminitis. LIVER:Measures 12.4 cm. Normal echogenicity. No focal mass, intrahepatic biliary dilation, or ascites. Portal vein is patent with normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: Nondistended with an anechoic lumen. Wall measures 2.5 mm. No stones or sludge. No pericholecystic fluid. Common bile duct measures 6.8 mm.PANCREAS: Evaluation the pancreas is limited due to overlying bowel gas.SPLEEN: Spleen measures 7.5 cm without sonographic abnormalities.KIDNEYS: Right kidney measures 9.2 cm. Left kidney measures 10.4 cm. Normal echogenicity. No shadowing calculi, hydronephrosis, focal mass. OTHER: No significant abnormality noted.
1. Normal ultrasound of the abdomen without sonographic explanation for patient's elevated liver enzymes.