45 years old, Male, Reason: elevated liver enzymes LIVER: The liver is mildly enlarged measuring 17.5 cm in length. Increased echogenicity of the hepatic parenchyma is consistent with fatty infiltration. Questionable minimal contour irregularity raises the possibility of early cirrhosis. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.1 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 4 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 11.5 cm in length. RIGHT KIDNEY: Kidney measures 12.5 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 12.1 cm in length. Normal echotexture. No evidence of hydronephrosis. Nonobstructing nephrolithiasis with a stone measuring up to .7 cm.OTHER: No significant abnormalities noted.
1.Questionable minimal contour irregularity raises the possibility of early cirrhosis.2.Diffusely increased echogenicity of the liver is consistent with fatty infiltration.3.Nonobstructing left nephrolithiasis.