41-year-old male complains of right upper quadrant pain. Evaluate for cholelithiasis. LIVER:Measures 19.0 cm. The parenchyma is echogenic. Difficult to penetrate sound beam. No masses, ascites, intrahepatic biliary dilation. The portal vein is patent with normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: The gallbladder is nondistended with an anechoic lumen. Wall measures 0.2 cm. No stones, sludge, or pericholecystic fluid. The common bile duct measures 0.2 cm. Negative sonographic Murphy's sign.PANCREAS: Evaluation of the pancreas is limited due to overlying bowel gas.SPLEEN: Measures 11.4 cm without sonographic abnormalities.KIDNEYS: Right kidney measures 9.8 cm. Left kidney measures 12.9 cm. Normal echogenicity. No hydronephrosis, shadowing calculi, or focal mass. OTHER: No significant abnormality noted.
1. Echogenic liver parenchyma consistent with fatty infiltration and chronic liver disease/parenchymal dysfunction. No mass or ascites.2. No sonographic evidence of cholelithiasis or cholecystitis.