Reason: Evaluate RUQ, liver, gallbladder History: Nausea, vomiting, RUQ pain Examination mildly limited by overlying bowel gas.LIVER: The liver measures 20.5 cm in length. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions or masses are identified, though sensitivity limited. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.26 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3.8 mm in diameter.PANCREAS: The pancreas is not well-visualized.SPLEEN: No significant abnormalities noted. The spleen measures 15.0 cm in length. RIGHT KIDNEY: Kidney measures 11.9 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 11.9 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted.
1.Enlarged, echogenic liver suggestive of hepatic steatosis/parenchymal dysfunction. 2.No evidence of acute cholecystitis or biliary ductal dilatation.