Reason: elevated LFTs - assess for fatty change and cirrhosis History: Occasional RUQ pain LIVER: The liver measures 19.8 cm in length. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.17 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: The spleen measures 11.7 cm in length. There is a slightly hypoechoic, round lesion within the spleen measuring 4.1 x 3.6 x 3.9 cm which demonstrates mild internal vascularity and lacks posterior acoustic enhancement, suggesting that this is a solid lesion.RIGHT KIDNEY: Kidney measures 12.8 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 13.5 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted.
1.Increased hepatic echogenicity suggestive of fatty infiltration/parenchymal dysfunction.2.Indeterminant solid appearing lesion within the spleen. In the absence of known malignancy, statistically this most likely represents a benign lesion.