42-year-old male with elevated INR. Evaluate for hepatic disease. LIVER: Exam somewhat limited by body habitus. The liver demonstrates irregular increased echogenicity centrally most suggestive of irregular fatty infiltration. No gross, focal mass identified. Limited color and spectral Doppler demonstrates patency and appropriate flow direction in the main portal vein.BILIARY TRACT: Gallbladder is normal without cholelithiasis, wall thickening or pericholecystic fluid. The biliary tract is normal in caliber.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. OTHER: No significant abnormalities noted.
Irregularly echogenic liver, likely due to irregular fatty infiltration.