Epigastric pain. LIVER: Non-cirrhotic liver morphology. 12 cm in length. Mildly increased and coarsened parenchymal echogenicity. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Normal appearance of the gallbladder. No gallstones identified. Negative sonographic Murphy's sign.PANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 9 cm in length. The left kidney is 10 cm in length. No suspicious renal lesions are evident. No hydronephrosis is seen.SPLEEN: 7.4 cm in length, without focal lesions evident.OTHER: No significant abnormalities noted. No significant free fluid identified.
1. Minimally coarsened liver echogenicity, which is nonspecific, though may reflect hepatic steatosis.2. No specific findings to account for the patient's epigastric pain.