26-year-old male. Elevated AST and ALT, elevated ACE level, lacrimal gland swelling. Evaluate liver for any changes suspicious for sarcoidosis. LIVER: Normal echogenicity of the liver, which measures 18 cm in length. No focal lesion. Hepatopetal portal venous flow.GALLBLADDER, BILIARY TRACT: No biliary ductal dilatation. Common duct is 4 mm in diameter, with the normal limits. No cholelithiasis or gallbladder wall thickening.PANCREAS: Visualized portions of the pancreatic head and neck show normal echogenicity. The rest of the pancreas is obscured by bowel gas.RIGHT KIDNEY: Normal echogenicity without focal mass. 11.3 cm in length. No hydronephrosis.OTHER: The spleen is 11.3 cm in length. Left kidney is 11.9 cm in length without hydronephrosis.
Normal appearance of the liver with no focal lesions.