25-year-old female with right upper quadrant pain. LIVER: Liver is normal in size and is mildly to moderately echogenic. This may be due to fatty infiltration although not specific. There is a rounded, small and echogenic 6 mm mass arising from the posterior lateral segment of left lobe consistent with hemangioma. No other abnormality is limited color and spectral Doppler demonstrates patency and appropriate flow direction in the main portal veinGALLBLADDER, BILIARY TRACT: Gallbladder is well-visualized and appears normal without cholelithiasis, wall thickening or pericholecystic fluid. The intrahepatic biliary tract is normal in caliber and the common duct is normal the level of the porta hepatis. More distally, the common duct increases to 9 mm which is above normal range for this age although no obstructing mass or stone is seen.PANCREAS: Pancreas is normal in size but appears heterogeneous in echotexture.RIGHT KIDNEY: No significant abnormalities noted.OTHER: No significant abnormalities noted.
1. Enlargement of distal common bile duct without intrahepatic dilatation of uncertain significance.2. Presumed fatty liver.3. Small hepatic hemangioma.4. Heterogeneous pancreatic parenchymaGiven the above findings, correlation with liver function enzymes would be useful.