47-year-old female with right upper quadrant pain. Exam is somewhat limited by body habitus and patient's inability to be appropriately positioned.LIVER: Highly echogenic, likely due to diffuse fatty infiltration. There is hepatomegaly with the liver measuring at least 21 cm in length. No focal hepatic abnormality. Limited color and spectral Doppler demonstrates patency and appropriate flow direction in the main portal vein.GALLBLADDER, BILIARY TRACT: Gallbladder contains small amount of dependent sludge as well as small shadowing gallstones. There is no wall thickening or pericholecystic fluid. The biliary tract is normal in caliber.PANCREAS: Not adequately visualized due to bowel gas.RIGHT KIDNEY: No significant abnormalities noted.OTHER: No significant abnormalities noted.
Hepatomegaly with fatty liver.Small amount of sludge and small gallstones in the gallbladder without complication.