49-year-old male with chronic mild elevated ALT. Evaluate for NASH versus inflammation/scarring. LIVER: Measures 16.1 cm in length and is diffusely increased in echogenicity suggestive of fatty infiltration.BILIARY TRACT: Gallbladder is normal in echogenicity. No gallbladder wall thickening. No pericholecystic fluid. No gallbladder wall thickening. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: The visualized portions of the pancreas are normal in echogenicity with no evidence of pancreatic ductal dilatation.SPLEEN: Measures 14.5 cm in length, upper limits of normal, and is normal in echogenicity.RIGHT KIDNEY: The right kidney measures 10.7 cm in length and is normal in echogenicity with no evidence of hydronephrosis. OTHER: Left kidney measures 11.3 cm in length and is normal in echogenicity with no evidence of hydronephrosis.
Findings suggestive of hepatic steatosis.