Abnormal LFTs, patient overweight LIVER: Hepatomegaly, liver measures 24 cm in longitudinal dimension. Markedly increased liver parenchymal echogenicity. Main portal vein patent with normal directional flow, velocity measures 20 cm/sec.GALLBLADDER, BILIARY TRACT: Gallbladder unremarkable. No mobile intraluminal echogenic foci seen to suggest underlying cholelithiasis. No secondary signs of acute cholecystitis.PANCREAS: Not well assessed secondary to obscuration by bowel gas.SPLEEN: Splenomegaly, spleen measures 17.6 cm.KIDNEYS: Right kidney measures 10.4 cm, while left kidney measures 12.9 cm. No hydronephrosis. Renal cortical echogenicity within normal limits.OTHER: No significant abnormality noted.
Markedly increased hepatic parenchymal echogenicity, likely reflecting underlying hepatic steatosis/parenchymal dysfunction.Hepatosplenomegaly.