38 year-old female right upper quadrant pain. LIVER: Increased echogenicity of the liver measuring 21.6 cm in length. No focal hepatic lesion. Main portal vein is patent with appropriate directional flow, peak velocity measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Gallbladder unremarkable. No gallbladder wall thickening. No pericholecystic fluid. Sonographic Murphy's sign negative. Common duct measures 3 mm in caliber. No intra or extrahepatic biliary ductal dilatation.PANCREAS: Distal pancreatic tail is obscured by overlying bowel gas. The visualized pancreas is unremarkable.RIGHT KIDNEY: Normal echogenicity measuring 12.1 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Normal echogenicity of the spleen measuring 10.6 cm in length. Normal echogenicity of the left kidney measuring 11.4 cm in length. No hydronephrosis or shadowing calculi are noted.
Hepatomegaly with increased parenchymal echogenicity suggestive of hepatic steatosis/parenchymal dysfunction.