64-year-old female with abnormal liver function. Evaluate for NASH. LIVER: Liver is normal in size but is highly echogenic. Presumably this is due to severe fatty liver, but other causes of hepatic dysfunction cannot be excluded. No obvious hepatic mass although penetration to the depth of the liver is limited.BILIARY TRACT: Gallbladder is normal without cholelithiasis, wall thickening or pericholecystic fluid. The biliary tract is normal in caliberPANCREAS: The head and body are normal. The tail is obscured by bowel gas.SPLEEN: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. OTHER: No significant abnormalities noted.
Highly echogenic liver, presumably fatty liver.