Abdominal swelling. Evaluate for cirrhotic morphology. LIVER: Non-cirrhotic liver morphology. 18 cm in length. Increased parenchymal echogenicity. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Normal appearance of the gallbladderPANCREAS: 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 10.6 cm in length. The left kidney is 11.4 cm in length. No suspicious renal lesions are evident. No hydronephrosis is present.SPLEEN: 8.4 cm in length, without focal lesions evident.OTHER: Minimal perihepatic free fluid identified.
1. Increased hepatic echogenicity compatible with parenchymal dysfunction and/or steatosis, without biliary ductal dilation.2. Minimal perihepatic free fluid.