45 year-old male with persistently mildly elevated LFTs. LIVER: The liver is coarse, echogenic with decreased through transmission, limiting evaluation for a focal lesion. Given this limitation, there is no focal lesion or intrahepatic biliary ductal dilatation. Liver measures 21.4 cm in craniocaudal dimension. Normal hepatopetal portal venous blood flow at 20 cm/sec.BILIARY TRACT: Normally distended gallbladder without gallstones, wall thickening, pericholecystic fluid, or focal tenderness. No extrahepatic biliary ductal dilatation with the common bile duct measuring 2 mm.PANCREAS: The suboptimally visualized pancreatic body and head are grossly unremarkable.SPLEEN: The spleen is mildly enlarged, measuring 14.1 cm in length.RIGHT KIDNEY: The right kidney measures 13.7 cm in length without hydronephrosis. OTHER: The left kidney measures 13.3 cm in length without hydronephrosis.
1. Hepatomegaly and findings compatible with severe diffuse fatty infiltration of the liver. 2. Mild splenomegaly. 