60-year-old male with history of alcohol abuse, smoking and cardiovascular risk factors. Patient has abdominal distention. Evaluate for cirrhosis, AAA, mass. LIVER:Hepatic size is upper normal. The liver is diffusely and markedly echogenic which is non--- specific. No focal hepatic abnormality is seen. The hepatic contour is not grossly cirrhotic.GALLBLADDER, BILIARY TRACT: Gallbladder appears normal without cholelithiasis, wall thickening or pericholecystic fluid. The biliary tract is normal in caliber.PANCREAS: No significant abnormality noted.SPLEEN: No significant abnormality noted.KIDNEYS: The right kidney measures 10.6 cm in length and the left 10.8 cm. Echotexture is normal. No hydronephrosis, shadowing calculus or mass. ABDOMINAL AORTA: Normal in caliber without evidence for aneurysm.INFERIOR VENA CAVA: No significant abnormality noted.OTHER: No ascites.
Echogenic liver, otherwise normal exam.