54-year-old female with thrombocytopenia. LIVER: Measures 20.1 cm in length. Increased hepatic echogenicity without discrete focal lesion, though with this degree of increased echogenicity or subtle lesion could be missed. Patent portal vein with antegrade flow. BILIARY TRACT: No cholelithiasis. No gallbladder wall thickening, pericholecystic fluid, or biliary ductal dilation. PANCREAS: The pancreas is incompletely imaged due to bowel gas. The imaged portions of the pancreas appear unremarkable. SPLEEN: Unremarkable in size and echogenicity. KIDNEY: No hydronephrosis, nephrolithiasis, or solid mass. OTHER: No significant abnormalities noted.
Hepatomegaly with markedly increased echogenicity consistent with hepatic steatosis. No discrete focal lesion, though with this degree of fatty infiltration a subtle lesion could be missed.