48-year-old female with abnormal LFTs on methotrexate. LIVER: Measures 15.0 cm in length. Increased hepatic echogenicity without discrete focal lesion. Patent portal vein with antegrade flow. BILIARY TRACT: No cholelithiasis. No gallbladder wall thickening, pericholecystic fluid, or biliary ductal dilation. PANCREAS: The pancreas is incompletely imaged due to bowel gas. The imaged portions of the pancreas appear unremarkable. SPLEEN: Unremarkable in size and echogenicity. KIDNEY: 1.2 cm hypoechoic exophytic structure in the left inferior renal pole may represent a cyst. No hydronephrosis or nephrolithiasis. OTHER: No significant abnormalities noted.
Increased hepatic echogenicity consistent with hepatic steatosis or parenchymal disease, without discrete focal lesion. 