49 year old female with history of MRSA spinal abscess and worsening LFTs. LIVER: Mildly coarse and increased echogenicity of the liver measuring 13.6 cm in length. No focal hepatic lesions. Portal vein is patent with appropriate directional flow; peak velocity measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: Minimal sludge in the gallbladder. No cholelithiasis. No pericholecystic fluid. No gallbladder wall thickening. Common bile duct measures 3 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Visualized portions of the pancreas is unremarkable.RIGHT KIDNEY: Normal echogenicity of the right kidney measuring 10.3 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Normal echogenicity of the left kidney measuring 12.3 cm in length. No hydronephrosis or shadowing calculi are noted.Normal echogenicity of the spleen measuring 8.1 cm in length.
1. Mild coarse and increased echogenicity of the liver suggestive of parenchymal dysfunction/fatty infiltration.2. Sludge within the gallbladder, no cholelithiasis or evidence of cholecystitis.