45-year-old male with transaminitis. Evaluate for steatosis, gallbladder sludge. LIVER: The liver measures 19.6 cm in length. Diffusely increased echogenicity consistent with hepatic steatosis. No superimposed discrete focal lesion. Patent main portal vein.GALLBLADDER, BILIARY TRACT: There is layering sludge within the gallbladder. There is no cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No sonographic Murphy sign could be elicited during the examination due to patient condition.PANCREAS: The pancreas is not well-visualized due to patient body habitus and bowel gas.KIDNEYS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted.OTHER: No significant abnormalities noted.
1.Limited examination demonstrating hepatic steatosis and gallbladder sludge.2.No evidence of acute cholecystitis or biliary obstruction.