68 years old, Male, Reason: pt with elevated liver enzymes new from 2 wks ago; please eval for acute obstruction/pathology LIVER: The liver measures 17 cm in length. Increased echogenicity of the liver consistent with fatty infiltration. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s.BILIARY TRACT: Patient is status post cholecystectomy. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 12.4 cm in length. RIGHT KIDNEY: Kidney measures 13.6 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.LEFT KIDNEY: The patient is status post left nephrectomy.OTHER: No significant abnormalities noted.
1.Diffuse fatty infiltration of the liver. No hepatic mass2.No intrahepatic or extra hepatic biliary ductal dilatation.