40 year-old male with history of significant alcohol abuse, elevated transaminases. Evaluate for liver pathology. LIVER: Increased echogenicity of the liver measuring 19.2 cm in length. No focal hepatic lesions. Main portal vein is patent with appropriate directional flow; peak velocity measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Normal echogenicity of the gallbladder. No gallbladder wall thickening. No pericholecystic fluid. Sonographic Murphy's sign is negative. Common duct measures 2 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Distal body and tail of the pancreas obscured by overlying bowel gas. The visualized portions of the pancreas are unremarkable.RIGHT KIDNEY: Measures 10.1 cm in length. No hydronephrosis or shadowing calculi or noted.OTHER: Left kidney measures 10.8 cm in length. No hydronephrosis or shadowing calculi or noted.Normal echogenicity of the spleen measuring 8.3 cm in length.
Increased echogenicity of the liver suggestive of parenchymal dysfunction/fatty infiltration.