57-year-old male patient with chronic hepatitis B. LIVER: The liver measures 14.3 cm in length. Hepatic parenchymal echogenicity is increased consistent with hepatic steatosis with geographic areas of sparing. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.3 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.RIGHT KIDNEY: The right kidney measures 9.7 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 10.3 cm in length. No evidence of hydronephrosis.The spleen measures 8 cm in length.No ascites.
1. Hepatic steatosis with geographic areas of fatty-sparing. No focal hepatic lesion is identified.2. No ascites. 