Elevated liver function tests. LIVER: Non-cirrhotic liver morphology. Coarsened liver echogenicity, compatible with parenchymal dysfunction. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: Minimal biliary ductal dilation, likely reflecting prior cholecystectomy.PANCREAS: 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 13.1 cm in length, with minimal hydronephrosis. The left kidney is 11.2 cm in length, without hydronephrosis. The renal parenchymal echogenicity is increased bilaterally, markedly so on the left. No suspicious renal lesions are evident. SPLEEN: Not visualized.OTHER: No significant abnormalities noted. No significant ascites is identified.
1. Coarsened liver echogenicity, compatible with parenchymal dysfunction. 2. Increased renal parenchymal echogenicity, markedly on the left, compatible with medical renal disease.