Reason: abnormal liver function tests LIVER: The liver measures 15.0 cm in length. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.21 m/s.BILIARY TRACT: Sludge is present within the gallbladder without associated significant gallbladder wall thickening. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 9.1 cm in length. RIGHT KIDNEY: Kidney measures 9.9 cm in length. Increased cortical echogenicity. No hydronephrosis. Renal sinus cyst.LEFT KIDNEY: Kidney measures 12.0 cm in length. Increased cortical echogenicity. No hydronephrosis. OTHER: Mild ascites.
1.Increased hepatic echogenicity suggestive of parenchymal dysfunction/fatty infiltration. 2.Gallbladder sludge without evidence of cholecystitis.3.Mild ascites, new from April 2016 CT.4.Echogenic kidneys suggestive of medical renal disease.