68 year-old female with history of hepatitis C and right upper quadrant pain. The study was limited and suboptimal due to the patient's body habitus.LIVER: The liver is coarse, echogenic and has decreased through transmission, limiting evaluation for a focal lesion. Given this limitation, no focal lesion or intrahepatic biliary dilatation is evident. The liver contour appears slightly nodular, suggesting underlying cirrhosis/fibrosis. Liver is mildly prominent, measuring 20.8 cm in craniocaudal dimension. There is normal hepatopetal portal venous blood flow at 20 cm/sec.BILIARY TRACT: There is a normally distended gallbladder without wall thickening, pericholecystic fluid, gallstones, or focal tenderness.PANCREAS: The pancreas is suboptimally visualized.SPLEEN: The spleen is moderately enlarged, measuring 14.7 cm.RIGHT KIDNEY: The right kidney measures 13.2 cm without hydronephrosis. OTHER: The left kidney measures 14.9 cm without hydronephrosis.
1. Findings compatible with diffuse fatty infiltration/parenchymal dysfunction, limiting evaluation for a focal lesion. Within this limitation, no focal lesion is evident. If there is continued clinical concern, a dedicated liver CT/MRI should be considered.2. Liver morphology suggestive of early cirrhosis.3. No evidence of gallbladder disease or biliary ductal dilatation.4. Moderate splenomegaly. 