55 year old female with fever, elevated GGT, elevated alkaline phosphatase. Evaluate for liver/gallbladder pathology. LIVER: Coarse echotexture of the liver measuring 12.6 cm in length. No focal hepatic lesions. Main portal vein is patent the directional flow; peak velocity measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Mild gallbladder wall thickening. No evidence of cholelithiasis or sludge. No pericholecystic fluid. Common duct measures 3 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Distal body and tail of the pancreas are obscured by overlying bowel gas. The remaining visualized portions are unremarkable.RIGHT KIDNEY: Increased echogenicity measuring 11.7 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Increased echogenicity of the left kidney measuring 7.8 cm in length. No hydronephrosis or shadowing calculi are noted.
1. Mild gallbladder wall thickening with no evidence of cholelithiasis or cholecystitis.2. Coarse echotexture of the liver suggestive of parenchymal dysfunction/fatty infiltration. No focal hepatic lesions.