28-year-old male with transaminitis. Evaluate for biliary obstruction. LIVER: Measures 17.1 cm. The parenchyma is heterogenous and coarse, some of which has a 'starry sky' appearance which can be seen in hepatitis but is nonspecific. No focal masses, intrahepatic biliary dilation, or ascites. The portal vein is patent with normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: The gallbladder is nondistended with a normal anechoic lumen. No stones, sludge, or pericholecystic fluid. The common bile duct measures 3.7 mm. The gallbladder wall measures 1.8 mm. PANCREAS: Evaluation the pancreas limited due to overlying bowel gas.SPLEEN: Measures 8.7 cm without sonographic abnormalities.KIDNEYS: Right kidney measures 10.7 cm. Left kidney measures 10.5 cm. Parenchyma is mildly echogenic. No shadowing calculi, hydronephrosis, or focal mass. OTHER: No significant abnormality noted.
1. No evidence of biliary dilation.2. Coarse heterogenous echotexture of liver consistent with fatty infiltration and chronic liver disease/parenchymal dysfunction.3. Echogenic kidneys consistent with medical renal disease/parenchyma dysfunction. No hydronephrosis.