53-year-old male with abnormal liver function. History of alcohol abuse. LIVER: Liver is markedly echogenic consistent with fatty infiltration. There is diminished penetration of the ultrasound due to attenuation which may limit this exam. Morphology does not appear cirrhotic. There is no gross, focal hepatic abnormality.GALLBLADDER, BILIARY TRACT: Gallbladder appears distended, but without obvious gallstones or wall thickening. Small amount of dependent sludge within the gallbladder.PANCREAS: Limited due to bowel gas.RIGHT KIDNEY: No significant abnormalities noted.OTHER: Limited views of left kidney and spleen demonstrate no abnormality.
Severe fatty liver.