Male 50 years old abdominal pain LIVER: The liver is coarse and hyperechoic consistent with fatty infiltration. No focal mass. Main portal vein is patent with normal directional flow and a peak velocity of 19.6 cm/s. No definite sonographic evidence of cirrhosis.BILIARY TRACT: No intra or extrahepatic biliary ductal dilatation. Gallbladder is normal in appearance. No gallstones. Common bile duct is not well-visualized.PANCREAS: Head of the pancreas is normal in appearance without pancreatic ductal dilatation. Body and tail of the pancreas are obscured by overlying bowel gas.SPLEEN: Spleen is normal measuring 9.6 cm.KIDNEYS: Normal cortical medullary differentiation. No hydronephrosis, shadowing calculi, or mass. Right kidney measures 13.4 cm. Left kidney measures 13.2 cm. OTHER: No ascites.
Coarsened hyperechoic liver is consistent with fatty infiltration.