53-year-old female with right upper quadrant pain. LIVER: Upper normal to mildly enlarged. Liver is highly echogenic presumably due to severe fatty infiltration with focal sparing at the level of the gallbladder. This limits penetration and evaluation of deep liver. No focal abnormality identified. Limited color and spectral Doppler demonstrates patency and appropriate flow direction in the main portal vein.GALLBLADDER, BILIARY TRACT: Normal without cholelithiasis, wall thickening or pericholecystic fluid. The biliary tract is normal in caliber.PANCREAS: Limited due to bowel gas. Pancreatic head and body are normal. The tail was not well seen.RIGHT KIDNEY: No significant abnormalities noted.OTHER: Left kidney without hydronephrosis. Splenic size normal.
Normal gallbladder and biliary tract.Highly echogenic, fatty liver.