35 year old female with right upper quadrant pain. The examination is limited and suboptimal due to the patient's body habitus.LIVER: The liver parenchyma is moderately coarse. The liver measures 20 cm in the craniocaudal length. No focal hepatic lesion or intrahepatic biliary ductal dilatation is evident. Normal hepatopetal portal venous blood flow at 30 cm/sec.BILIARY TRACT: A normally distended gallbladder is identified without gallstones, wall thickening, pericholecystic fluid, or focal tenderness. No extrahepatic biliary ductal dilatation with the common bile duct measuring 4 mm.PANCREAS: Limited evaluation of the pancreatic head and body is grossly unremarkable.SPLEEN: The spleen measures 11 cm in length without a discrete focal abnormality.RIGHT KIDNEY: The right kidney measures 12.6 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident. Color Doppler demonstrates hilar blood flow.OTHER: The left kidney measures 13 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident. Color Doppler demonstrates hilar blood flow.
Slightly limited study with no specific findings to account for the patient's right upper quadrant pain. Coarsened hepatic parenchyma may represent diffuse fatty infiltration/parenchymal dysfunction.