57 years old, Female, Reason: abdominal pain History: Pt c/o abdominal pain (L-sided). Please look at kidney, liver, pancreas and spleen. Liver: The liver measures 15.2 cm in length. Mildly increased parenchymal echogenicity suggestive of fatty infiltration. Subcentimeter hypoechogenicity measuring up to 1.3 cm may represent focal fatty sparing, although is indeterminate on this ultrasound examination. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: The spleen cannot be evaluated due to overlying bowel gas.RIGHT KIDNEY: Kidney measures 9.7 cm in length. No hydronephrosis.LEFT KIDNEY: Kidney measures 10 cm in length. No hydronephrosis.ABDOMINAL AORTA: No evidence of aneurysmal dilatation.INFERIOR VENA CAVA: No significant abnormality noted.
1.Mildly increased parenchymal echogenicity suggestive of fatty infiltration.2.Subcentimeter hepatic hypoechogenicity may represent focal fatty sparing although it is indeterminate on this ultrasound examination. Further evaluation with dedicated contrast enhanced CT or MRI may be pursued if clinically indicated.