28-year-old male presents with right upper quadrant pain. LIVER:Measures 14.2 cm. Mild bilobar hepatic biliary dilation is noted without extrahepatic dilatation. No masses. Trace ascites. There is a prominence of the portal triads.GALLBLADDER, BILIARY TRACT: The gallbladder is nondistended with an anechoic lumen. Wall is 0.2 cm. No stones or sludge. Common hepatic duct measures 0.4 centers. Common bile duct measures 0.5 cm.PANCREAS: Evaluation the pancreas is limited due to overlying bowel gas.SPLEEN: Measures 17.1 cm.KIDNEYS: Left kidney measures 9.8 cm. Right kidney measures 9.4 cm. Normal echogenicity. No shadowing calculi, hydronephrosis, or focal mass. OTHER: No significant abnormality noted.
1. Mild bilobar intrahepatic biliary dilation without extrahepatic biliary dilation is consistent with a cholestatic picture.2. Prominent triads the liver parenchyma which can be seen in the setting of hepatic edema which may be suggestive of hepatitis or diffuse infiltrative process .3. Trace ascites.4. Splenomegaly.