Elevated LFTs. LIVER: The liver is mildly coarse and increased in echogenicity. No focal liver lesion or biliary ductal dilatation. Normal hepatopedal portal venous blood flow of 0.2 mm/s.BILIARY TRACT: No extrahepatic biliary ductal dilatation with the common duct measuring 4 mm. Normally distended gallbladder. The wall thickness is normal measuring 2 mm. No pericholecystic fluid or focal tenderness. Note is made of gallbladder sludge.PANCREAS: The visualized portion of the pancreatic head is unremarkable. Otherwise the pancreas is obscured by overlying bowel gas.SPLEEN: The spleen measures 7 cm in length.RIGHT KIDNEY: The right kidney measures 10.9 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion. Color Doppler demonstrates hilar blood flow. OTHER: The left kidney measures 11.2 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion. Color Doppler demonstrates hilar blood flow.
1. Gallbladder sludge without evidence of acute gallbladder inflammation.2. Coarse and mildly echogenic liver parenchyma suggestive of parenchymal dysfunction, including fatty infiltration.