Reason: Evaluate liver for pathology History: elevated liver enzymes LIVER: The liver measures 17.1 cm in length. Mildly coarse, echogenic hepatic parenchyma. The portal vein is patent with normal hepatopedal directional blood flow, peak velocity 28.3 cm/s. No focal mass.GALLBLADDER, BILIARY TRACT: The gallbladder is not visualized. The common bile duct measures 0.4 cm. No biliary ductal dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: The right kidney measures 10.47 m in length. The left kidney measures 10.3 cm in length. Small simple cyst in the mid left kidney measures 0.8 x 0.9 x 0.9 cm. No hydronephrosis or shadowing stones.OTHER: No ascites. The spleen measures 9.5 cm in length.
Mildly coarse, echogenic liver, consistent with hepatic steatosis or parenchymal dysfunction.