50-year-old female patient with elevated LFTs. LIVER: The liver measures 21.5 cm in length. There is diffuse increased hepatic parenchymal echogenicity which decreases the sensitivity to detect subtle lesions. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: The gallbladder is absent. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 4 mm in diameter.PANCREAS: The head of the pancreas demonstrates normal echogenicity. The body and tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 11.5 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 12 cm in length. No evidence of hydronephrosis.The spleen measures 6.7 cm in length.Small amount of ascites is noted.
1. Hepatic steatosis and hepatomegaly.2. Trace ascites. 