Right upper quadrant abdominal pain LIVER: Non-cirrhotic liver morphology. Enlarged, measuring 23 cm in length. Mildly coarsened parenchymal echogenicity. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Normal appearance of the gallbladderPANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 11.1 cm in length, with a 9 mm nonobstructing stone noted in the lower pole. The left kidney is 10.4 cm in length. No suspicious renal lesions are evident. No hydronephrosis is present.SPLEEN: 8.8 cm in length, without focal lesions evident.OTHER: No significant abnormalities noted. No free fluid is identified.
1. Hepatomegaly with increased hepatic echogenicity compatible with steatosis.2. Nonobstructing right nephrolithiasis.3. No specific findings otherwise to account for the patient's symptoms. 