Reason: Patient with weakness and mild transaminitis History: Weakness LIVER: The liver measures 17.7 cm in length. Increased parenchymal echogenicity is compatible with fatty infiltration/parenchymal dysfunction. Hepatic cyst as seen on prior CT without additional focal hepatic lesions identified, though sensitivity limited. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.23 m/s.BILIARY TRACT: Cholelithiasis including stones in the gallbladder neck without associated significant gallbladder wall thickening or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 10.7 cm in length. RIGHT KIDNEY: Kidney measures 18.6 cm in length (including cyst). Normal echotexture. No frank hydronephrosis. Large upper pole cyst.LEFT KIDNEY: Kidney measures 13.0 cm in length. Normal echotexture. Mild hydroureteronephrosis appearing similar to recent CT.OTHER: No significant abnormalities noted.
1.Echogenic liver compatible hepatic steatosis/parenchymal dysfunction. No suspicious focal hepatic lesions are identified, however, sensitivity is limited.2.Cholelithiasis without evidence of acute cholecystitis or biliary ductal dilatation.3.Mild left hydroureteronephrosis appearing similar to recent CT.