Right upper quadrant pain and elevated bilirubin. LIVER: The liver measures 19.5 cm in length. Mildly increased parenchymal echogenicity is suggestive of fatty infiltration/parenchymal dysfunction. No focal hepatic lesions or masses are identified. There is hepatopetal flow in the main portal vein with a velocity of 0.2 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 4 mm in diameter.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted.The spleen measures 11.3 cm in length. RIGHT KIDNEY: Kidney measures 13.0 cm in length. Normal echotexture. LEFT KIDNEY: Kidney measures 13.5 cm in length. Normal echotexture. OTHER: No significant abnormalities noted.
1.Hepatomegaly.2.No sonographic evidence of acute cholecystitis or biliary ductal dilatation.