Elevated bilirubin LIVER: Non-cirrhotic liver morphology. Increased parenchymal echogenicity. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No intrahepatic biliary ductal dilation. Mild prominence of the common bile duct is within normal limits for the patient's age. There is gallbladder sludge and cholelithiasis, without specific evidence of cholecystitis. No sonographic Murphy's sign.PANCREAS: Obscured by bowel gas.KIDNEYS: The right kidney is 9.5 cm in length. The left kidney is 10.7 cm in length. No suspicious renal lesions are evident. No hydronephrosis is present.SPLEEN: 11.2 cm in length, without focal lesions evident.OTHER: No significant abnormalities noted. No ascites.
1. Increased hepatic echogenicity compatible with parenchymal dysfunction and/or steatosis, without biliary ductal dilation.2. Cholelithiasis without specific evidence of cholecystitis.