53-year-old female presents for follow-up of hepatic lesions. LIVER:Measures 14.3 cm. Increased and coarse echogenicity of liver limits evaluation of the parenchyma. Several hypoechoic lesions are noted again on the current study, but definite evaluation of these cannot be performed due to increased echotexture and decreased penetration of ultrasound beam. GALLBLADDER, BILIARY TRACT: The lumen is anechoic. No stones or sludge. The wall measures 2.1 cm. The common hepatic duct is 6.1 cm. No pericholecystic fluid.PANCREAS: Pancreas has uniformly increased echogenicity, compatible with fatty infiltration.SPLEEN: Measures 9.3 cm. No sonographic abnormalities.KIDNEYS: Right kidney is 11.2 cm. Left kidney is 10.2 cm. Cortex disease have normal echogenicity. No shadowing I, hydronephrosis, or focal mass. OTHER: No significant abnormality noted.
1. Coarse and increased echogenicity of liver consistent with chronic liver disease/parenchymal dysfunction.2. Several hypoechoic lesions as described above inadequately evaluated on this study. Could be better evaluated with multiphasic CT exam.3. Increased echogenicity of pancreas consistent with fatty infiltration.