27-year-old female with chronic nausea/vomiting and elevated alkaline phosphatase. LIVER: Measures 19.1 in length. Markedly increased hepatic echogenicity without discrete focal lesion. Mild intrahepatic biliary ductal dilation. Patent portal vein with antegrade flow. BILIARY TRACT: No cholelithiasis. No gallbladder wall thickening, pericholecystic fluid, or extrahepatic biliary ductal dilation. PANCREAS: The pancreas is incompletely imaged due to bowel gas. The imaged portions of the pancreas appear unremarkable. SPLEEN: Unremarkable in size and echogenicity. KIDNEY: Markedly increased renal echogenicity and atrophy. No hydronephrosis, nephrolithiasis, or solid mass. OTHER: No significant abnormalities noted.
1.Markedly increased hepatic echogenicity consistent with hepatic steatosis or parenchymal disease. Mild intrahepatic biliary ductal dilation. Mild hepatomegaly.2.Atrophic kidneys with markedly increased renal echogenicity consistent with chronic kidney disease.