Hepatic steatosis. Renal stones. LIVER: Non-cirrhotic liver morphology. 23 cm in length. Mildly coarsened parenchymal echogenicity. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Normal appearance of the gallbladder.PANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: Evaluation of the kidneys is limited by poor acoustic penetration. The right kidney is 14.9 cm in length. Several echogenic foci may represent nonobstructing stones, measuring up to 9 mm. No suspicious renal lesions. No hydronephrosis.The left kidney is 14.3 cm in length. Several echogenic foci may represent nonobstructing stones, measuring up to 13 mm. No suspicious renal lesions. No hydronephrosis.BLADDER: No significant abnormality noted.SPLEEN: 9.1 cm in length, without focal lesions evident.ABDOMINAL AORTA: Patent and measuring up to 2.3 cm, without aneurysmal dilation.INFERIOR VENA CAVA: Patent.OTHER: No significant abnormality noted. No significant abdominal free fluid identified.
1. Hepatomegaly with nonspecific mildly coarsened echogenicity, compatible with parenchymal dysfunction.2. Several echogenic foci in the kidneys bilaterally may represent nonobstructing renal stones, however evaluation of total renal stone burden is limited by ultrasound.