Female 62 years old; Reason: 62 yo with hepatomegaly seen on OSH CT scan History: hepatomegaly Limited by body habitus and by increased echogenicity of the liver which made sonography difficult to penetrate deeper structures.LIVER: The liver measures 18.4 cm in length. There is increased, course, and heterogenous echogenicity of the liver parenchyma. No focal hepatic lesions. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow measured at 28.4 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 2.1 mm. Gallstones and sludge are seen. No pericholecystic fluid. The common bile duct measures 1.7 mm in diameter. The common hepatic duct measures 1.7 mm. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 11.5 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 10.2 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 10.9 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.OTHER: No significant abnormality noted.
1. Increased, course, heterogenous echotexture of the liver consistent with chronic liver disease/parenchymal dysfunction. No hepatic masses or intrahepatic ductal dilation.2. Mild hepatomegaly.3. Gallstones without signs of acute cholecystitis.