73-year-old female with hepatitis. Evaluate for cirrhosis. LIVER: The liver measures 15.7 cm in length and demonstrates diffusely increased parenchymal echogenicity. No focal hepatic lesions.BILIARY TRACT: Small amount of biliary sludge; no cholelithiasis, gallbladder wall thickening or pericholecystic fluid. Sonographic Murphy's sign is negative. The common duct measures 6 mm in caliber, within normal limits for patient's age.PANCREAS: The distal body and tail of pancreas are obscured by overlying bowel gas. The remaining visualized portions of the pancreatic parenchyma demonstrate no significant abnormality.SPLEEN: The spleen measures 7.2 cm in length and is normal.RIGHT KIDNEY: The right kidney measures 9.5 cm in length and demonstrates normal cortical echogenicity. No hydronephrosis or intrarenal masses or calculi.OTHER: The left kidney measures 9.8 cm in length and demonstrates normal cortical echogenicity. No hydronephrosis or intrarenal masses or calculi.Note is made of a small right pleural effusion partially imaged.
1. Increased hepatic parenchymal echogenicity suggestive of hepatic steatosis. No findings suggest cirrhosis. No ascites or splenomegaly. 2. Minimal biliary sludge.3. Small right pleural effusion partially imaged. 