Male 54 years old; Reason: 54 yo with abnl LFT History: none LIVER: The liver measures 23.0 cm in length. There is increased echogenicity of the liver parenchyma. No focal hepatic lesions. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow measured at 20.0 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 1.6 mm. No stones are seen. There is a small amount of sludge present. No pericholecystic fluid. The common bile duct measures 3.5 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 12.8 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 11.0 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 11.7 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.
1. Hepatomegaly is present.2. The liver has increased echogenicity compatible with fatty infiltration/hepatocellular dysfunction. Although no new worrisome masses are seen, the liver's significant degree of echogenicity decreases the sensitivity for detecting masses on ultrasound. If clinically indicated may consider further cross-sectional imaging for evaluation of any hepatic masses.3. No evidence of cholelithiasis or acute cholecystitis. No intrahepatic ductal dilation.