61-year-old male presents with transaminitis. LIVER:The liver measures 20.2 cm. There is increased and coarse echogenicity of the liver. No masses or ascites. No intrahepatic biliary dilation. The portal vein is patent with hepatopedal flow measured with peak velocity at 16.6 cm/s.GALLBLADDER, BILIARY TRACT: The gallbladder is nondistended. An echogenic foci within the gallbladder is thought to represent a gallstone. Gallbladder wall measures 0.2 cm. Common bile duct measures 0.7 cm. No pericholecystic fluid. Negative sonographic Murphy's sign.PANCREAS: Evaluation of pancreas is limited due to overlying bowel gas.SPLEEN: The spleen measures 8.5 cm. No abnormalities are noted.KIDNEYS: The right kidney measures 11.5 cm. The cortex has normal echogenicity. No shadowing calculi or hydronephrosis. Left kidney measures approximately 11.1 cm. The cortex has normal echogenicity. No no shadowing calculi or hydronephrosis. OTHER: No significant abnormality noted.
1. Coarse and echogenic liver consistent with chronic liver disease/parenchymal dysfunction.2. Hepatomegaly without masses or ascites.3. Cholelithiasis without signs of acute inflammation.