41-year-old male patient with right upper quadrant abdominal pain, positive Murphy. Evaluate for fatty liver disease. LIVER: The liver measures 19.3 cm in length and has increased echogenicity. No focal hepatic lesion is identified. The main portal vein flow is hepatopetal and measures 0.4 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. There is no intra- or extrahepatic biliary ductal dilatation. The common hepatic duct measures 1 mm in diameter. Sonographic Murphy's sign is negative.PANCREAS: The head of the pancreas is normal in echogenicity. The tail is obscured by bowel gas.RIGHT KIDNEY: The right kidney measures 11.4 cm in length. No evidence of hydronephrosis.OTHER: The left kidney measures 12.2 cm in length. No evidence of hydronephrosis. There is a 2.3 x 2.3 cm left lower pole simple renal cyst.The spleen measures 10.6 cm in length.
1. Hepatic steatosis.2. No cholelithiasis or sonographic evidence of acute cholecystitis.3. Left renal cyst.