69-year-old female patient with elevated LFTs. Question of nonalcoholic fatty liver disease. LIVER: The liver measures 19.2 cm in length and demonstrates increased hepatic parenchymal echogenicity. A 1.4 x 1.0 x 1.5 cm anechoic lesion within the left hepatic lobe with posterior acoustic enhancement is compatible with a cyst. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: There are gallstones but no gallbladder wall thickening or pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 2 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 12.8 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 13.4 cm in length. No evidence of hydronephrosis.The spleen measures 10.9 cm in length.
1. Increased hepatic parenchymal echogenicity consistent with hepatic steatosis.2. Left hepatic cyst.3. Cholelithiasis without sonographic evidence of acute cholecystitis.