49-year-old female with elevated liver function tests. LIVER: Enlarged liver measures 22.7 cm in length. Markedly increased hepatic echogenicity without discrete focal lesion.BILIARY TRACT: Small amount of layering material in the gallbladder without posterior acoustic shadowing most likely represents sludge. No gallbladder wall thickening or pericholecystic fluid. No biliary ductal dilation.PANCREAS: The pancreas is incompletely visualized. The imaged portions of the pancreas appear unremarkable.SPLEEN: No significant abnormalities noted.KIDNEY: No significant abnormalities noted. OTHER: No significant abnormalities noted.
1. Hepatomegaly with increased echogenicity consistent with hepatic steatosis or parenchymal disease. 2. No evidence of acute biliary pathology. 