Male 47 years old; Reason: Assess for hepatic damage/source of abnormal LFTs History: AST/ALT and billirubin elevation, tremors LIVER: The liver measures 19.4 cm in length. There is increased echogenicity of the liver parenchyma. No focal hepatic lesions. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow measured at 23.2 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 1.1 mm. No stones are seen but a small amount of sludge is seen within the gallbladder. No pericholecystic fluid. The common bile duct measures 3.2 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 10.3 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 12.0 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 10.7 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.
1. The liver has increased echogenicity which is compatible with fatty liver/hepatocellular dysfunction. No worrisome masses are seen.2. No sonographic evidence of cholelithiasis or acute cholecystitis. No intra or extrahepatic ductal dilation is seen.