Elevated LFTs LIVER: Markedly coarse echogenic liver echotexture without obvious mass. Liver length 20.1 cm. Limited interrogation of the main portal vein by Doppler demonstrates a patent portal vein with normal directional flow.GALLBLADDER, BILIARY TRACT: Gallbladder sludge without acute inflammation or ductal dilatationPANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 11.2 cm in lengthOTHER: Left kidney 11 cm in length. Spleen 12.4 cm in length. No ascites.
Markedly coarse echogenic liver echotexture consistent with fatty infiltration/parenchymal dysfunction associated with moderate hepatomegaly. While no obvious mass is appreciated, this degree of fatty infiltration diminishes the sensitivity of ultrasound to detect a subtle mass lesion.Gallbladder sludge without acute inflammation or ductal dilatation. No ascites.