Male; 25 years old. Reason: elevated ALT, evaluate for fatty liver History: elevated ALT LIVER: The liver measures 16.6 cm in length. The liver surface is smooth, the parenchyma is diffusely increased in echogenicity and coarsened in echotexture which limits sensitivity for detection of hepatic masses. Within this limitation, no worrisome mass identified. There are geographic areas of focal sparing, particularly along the gallbladder fossa. The portal vein is patent and demonstrates hepatopetal flow with peak velocity 0.3 m/sec.BILIARY TRACT: The gallbladder is normal in appearance. There is no cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The common duct measures 2 mm in diameter. There is no intrahepatic biliary ductal dilatation.PANCREAS: The head and body of the pancreas are unremarkable. The tail is obscured by overlying bowel gas.SPLEEN: The spleen measures 10.6 cm in length.KIDNEYS: The right kidney measures 11.5 cm in length. The left kidney measures 11.8 cm in length. The renal cortex is normal in echogenicity bilaterally. There is no hydronephrosis or shadowing renal stone bilaterally.
Borderline hepatomegaly and coarse, echogenic liver compatible with hepatic steatosis/parenchymal dysfunction.