Reason: Evaluate for fatty liver disease History: Heavy ETOH use, abnormal liver function tests. LIVER: The liver measures 22.7 cm in length. The liver parenchymal echotexture is coarse. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating hepatopetal flow with a velocity of 0.45 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 2 mm in diameter.PANCREAS: The visualized head and body of the pancreas are mildly hypoechoic.SPLEEN: No significant abnormalities noted. The spleen measures 9.3 cm in length. RIGHT KIDNEY: Kidney measures 13.1 cm in length. Increased parenchymal echogenicity. No hydronephrosis. Lower pole simple cyst.LEFT KIDNEY: Kidney measures 12.3 cm in length. Increased parenchymal echogenicity. No hydronephrosis. Lower pole simple cyst.OTHER: No significant abnormalities noted.
1.Hepatomegaly. Echogenic liver suggestive of parenchymal dysfunction/fatty infiltration.2.Echogenic kidneys suggestive of medical renal disease.3.Diffusely decreased echogenicity of the pancreas which is nonspecific but can be seen with infiltrative processes such as edema. 