Elevated liver enzymes. LIVER: Non-cirrhotic liver morphology. 20 cm in length. Mildly increased parenchymal echogenicity. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Mildly distended gallbladder, without wall thickening, pericholecystic fluid, or gallstones. No sonographic Murphy sign.PANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 11.1 cm in length. The left kidney is 12.0 cm in length. No suspicious renal lesions are evident. No hydronephrosis is present.SPLEEN: 12.5 cm in length, without focal lesions evident.OTHER: Small right pleural effusion, partially imaged. No ascites identified.
1. Mildly hepatic echogenicity compatible with parenchymal dysfunction and/or steatosis, without biliary ductal dilation.2. Mildly distended gallbladder without evidence of cholecystitis, per clinical query.