26-year-old male with morbid obesity, elevated AST/ALT. Evaluate for fatty liver disease. Limited evaluation due to patient's body habitus.LIVER: Increased in echogenicity of the liver measuring 20.2 cm in length. Evaluation of the deep liver is limited by beam attenuation. No focal hepatic lesions. Main portal vein is patent with appropriate directional flow; peak velocity measures 0.2 m/s. GALLBLADDER, BILIARY TRACT: Normal echogenicity of the gallbladder. No gallbladder wall thickening. No pericholecystic fluid. The common duct measures 3 mm in caliber. No intra-or extrahepatic ability ductal dilatation.PANCREAS: Not well visualized due to overlying bowel gas.RIGHT KIDNEY: Measures 12.7 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Left kidney measures 13.6 cm in length. No hydronephrosis or shadowing calculi are noted.Normal echogenicity of the spleen measuring 13.8 cm in length.
Hepatomegaly with increased echogenicity suggestive of parenchymal dysfunction/fatty infiltration. No focal hepatic lesions. 