55-year-old female patient with abdominal pain, occasional bloating. Evaluate right upper quadrant. LIVER: The liver measures 13.1 cm in length. Hepatic parenchymal echogenicity is increased. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. Sonographic Murphy's sign is negative. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 3 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 10.2 cm in length and demonstrates increased cortical echogenicity. No evidence of hydronephrosis. OTHER: The left kidney measures 11 cm in length and demonstrates increased cortical echogenicity. No evidence of hydronephrosis.The spleen measures 9.3 cm in length.
1. Hepatic steatosis.2. Increased renal cortical echogenicity which can be seen with medical renal disease. 