Reason: 45 yo with PSC please evaluate gallbladder LIVER: The liver measures 15.9 cm in length. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.19 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present, though this was better assessed on prior MRCP. The common bile duct measures 2.2 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 9.6 cm in length. RIGHT KIDNEY: Kidney measures 10.5 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 12.1 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted.
Increased hepatic echogenicity raising the possibility of chronic liver disease. Normal sonographic appearance of the gallbladder. No sonographic evidence of biliary ductal dilatation.