55-year-old male with transaminitis and and symptoms of new or failure. LIVER:The liver measures 19 cm in length. The liver is coarse with increased echogenicity. No new worrisome masses are seen. There is no intrahepatic ductal dilation. No ascites. The portal vein is patent with hepatopetal flow measuring 17.1 cm/s.GALLBLADDER, BILIARY TRACT: There is sludge seen within the gallbladder. The gallbladder wall measures 0.3 cm, this is normal. Negative sonographic Murphy sign. The common bile duct measures 0.3 cm.PANCREAS: The pancreas is not well-visualized due to bowel gas.SPLEEN: No significant abnormality noted.RIGHT KIDNEY: The right kidney measures 12.2 cm in length. The cortex has normal echogenicity. There is no hydronephrosis, stones, or new worrisome masses seen. LEFT KIDNEY: The left kidney measures 12.2 cm in length. The cortex is of normal echogenicity. There is no hydronephrosis, stones, or new worrisome masses noted within the left kidney.OTHER: There is a small right pleural effusion noted.
1. Mild hepatomegaly will coarse increased echogenicity within the liver which is compatible with fatty liver/parenchymal dysfunction. No worrisome masses. No intrahepatic ductal dilation, and no ascites is seen.2. Sludge is seen within the gallbladder without signs of cholelithiasis or acute cholecystitis.3. Small right pleural effusion is visualized.