68 year old female with abnormal alkaline phosphatase and lipase. History of cholecystectomy and lupus on steroids. The study was limited due to the patient's body habitus and bowel gas shadowing.LIVER: The liver parenchyma is coarse and mildly hyperechoic. The liver measures 13.9 cm in craniocaudal dimension. No intrahepatic biliary ductal dilatation or focal hepatic lesion is identified. There is also hepatopetal portal venous blood flow at 30 cm/sec.BILIARY TRACT: No extrahepatic biliary ductal dilatation with the common bile duct measuring 3 mm. The patient is status post cholecystectomy.PANCREAS: The pancreas is obscured by overlying bowel gas shadowing.SPLEEN: The spleen is mostly obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 11.4 cm in length without hydronephrosis or shadowing calculus. OTHER: There is mild generalized body wall edema. Small amount of ascites and pleural effusions.
1. Limited study as described above without biliary ductal dilatation.2. Heterogeneous and coarse liver parenchyma likely related to steatosis/diffuse parenchymal dysfunction.3. Trace ascites and bilateral pleural effusions.