Elevated liver enzymes. LIVER: The liver is mildly coarse in echotexture. It is normal in size and morphology measuring 13 cm in craniocaudal dimension. No intrahepatic biliary ductal dilatation or focal lesion. Normal hepatopedal portal venous blood flow at 0.2 m/s.BILIARY TRACT: No extrahepatic biliary ductal dilatation with the common duct measuring up to 7 mm at the pancreatic head. The patient is status post cholecystectomy.PANCREAS: Limited evaluation of the visualized pancreatic head and neck demonstrates no significant abnormality.SPLEEN: The spleen is normal in size measuring 8.6 cm without a discrete lesion.RIGHT KIDNEY: The right kidney is diminutive measuring 9.4 cm without hydronephrosis. Mildly echogenic renal cortices. OTHER: The left kidney is diminutive 9.3 cm in length without hydronephrosis. Mildly echogenic renal cortices.
1. Mildly coarse liver echotexture may be seen in the setting of parenchymal dysfunction, differential including but not limited to steatosis. 2. Status post cholecystectomy without significant biliary ductal dilatation. 3. Diminutive kidneys which appear mildly echogenic, suggesting medical renal disease, correlate with renal function.