Reason: 46M adm with SBO, s/p lap lysis of adhesions, now with new transaminitis History: transaminitis LIVER: The liver measures 13.9 cm in length. Mildly coarse, echogenic hepatic parenchyma. The portal vein is patent with normal hepatopedal directional flow, peak velocity 14.4 cm/s. No focal mass.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted. No shadowing stones or sludge. No biliary ductal dilatation. The gallbladder wall measures 0.2 cm. The common bile duct measures 0.2 cm.PANCREAS: Obscured by bowel gas.KIDNEYS: The right kidney measures 11.8 cm in length. The left kidney measures 10.2 cm in length. No hydronephrosis or shadowing renal calculi.OTHER: No ascites. The spleen measures 8.2 cm.
Mildly coarse, echogenic liver, consistent with parenchymal dysfunction or hepatic steatosis.