Female 40 years old Reason: eval liver, hx ETOH abuse x 10-15 years with elevated LFT and lipase History: N/V, abd pain LIVER: Enlarged 26 cm in length. Heterogeneous texture and echogenic consistent with fatty infiltration. Correlate for underlying liver disease. No definite focal lesions. Flow in the portal vein is hepatopedal peak velocity 20.6 cm/sGALLBLADDER, BILIARY TRACT: Cholelithiasis. Negative sonographic Murphy sign. No gallbladder wall thickening or pericholecystic fluid. No intrahepatic or extrahepatic biliary dilatation.PANCREAS: Limited visualization.RIGHT KIDNEY: 11.9 cm in length.OTHER: Left kidney 12.1 cm in length.Spleen 8.2 cm in length.No evidence of ascites.
Cholelithiasis with no evidence of biliary dilatation or signs of cholecystitis. Hepatomegaly. Fatty liver.