61-year-old female with transaminitis. LIVER: The liver measures 17.2 cm. There is increased and coarse echogenicity of the parenchyma. No masses or ascites. No intrahepatic ductal dilation. The main portal vein is patent.GALLBLADDER, BILIARY TRACT: The gallbladder is nondistended and the wall measures 2.2 mm. No stones or sludge. The common bile duct measures 2.7 mm. No pericholecystic fluid.PANCREAS: The pancreas is obscured by bowel gas.SPLEEN: The spleen measures 8.9 cm. No abnormalities noted.KIDNEYS: The right kidney measures 12.2 cm. The cortex is echogenic. No shadowing calculi, hydronephrosis, or worrisome masses. There are minimally complex cysts, the largest of which measures 3.5 x 2.6 x 2.8 cm.The left kidney measures 10.9 cm. The cortex is echogenic. No shadowing calculi, hydronephrosis, or worrisome masses. OTHER: No significant abnormality noted.
1. Coarse, echogenic liver consistent with chronic liver disease/parenchymal dysfunction. No masses, ductal dilation, or ascites.2. Echogenic kidneys consistent with chronic medical renal disease/parenchymal dysfunction. No hydronephrosis or stones.3. Minimally complex right renal cyst.