66-year-old male patient with history of heavy drinking, now less, with elevated liver enzymes. Evaluate for liver disease. LIVER: The liver measures 14.9 cm in length. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 4 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas. The main pancreatic duct is dilated up to 4 mm.RIGHT KIDNEY: The right kidney measures 9.9 cm in length. No evidence of hydronephrosis. There is a 6 mm right lower pole renal stone and a 2.0 x 1.6 x 1.5 cm right midpole simple renal cyst.OTHER: The left kidney measures 9.4 cm in length. No evidence of hydronephrosis.The spleen measures 5.6 cm in length.
1. No focal hepatic lesion.2. Pancreatic ductal dilatation of uncertain etiology; this can be further evaluated with MRCP if clinically indicated.3. Non-obstructing right nephrolithiasis and right renal cyst. 