71 female with right upper quadrant pain, chills, CVA tenderness. History of cholecystectomy and reported renal cyst. LIVER: Increased echogenicity of the liver measuring 14.4 cm in length. No focal hepatic lesions. Main portal vein is patent with appropriate directional flow; peak velocity measures 0.2 m/s. GALLBLADDER, BILIARY TRACT: Status post cholecystectomy. The common duct measures 7 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Tail of the pancreas is obscured by overlying bowel gas. Visualized portions of the pancreas are unremarkable. RIGHT KIDNEY: Normal echogenicity of the right kidney measuring 10.8 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Normal echogenicity of the spleen measuring 7.8 cm in length. Normal echogenicity of the left kidney measuring 11.2 cm in length. No hydronephrosis or shadowing calculi are noted.
Increased echogenicity of the liver suggestive of parenchymal dysfunction/fatty infiltration. No focal hepatic lesions.