71-year-old female with HCV. Evaluate for chronic liver disease. LIVER: Coarse echotexture of the liver measuring 15.7 cm in length. No focal hepatic lesions are identified.GALLBLADDER, BILIARY TRACT: There is sludge in the gallbladder. No pericholecystic fluid. Gallbladder wall measures 2 mm in thickness. Common bile measures 6 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: The visualized portions of the pancreas are normal in echogenicity with no pancreatic ductal dilatation.RIGHT KIDNEY: Right kidney measures 10.3 cm in length with increased echogenicity of the renal cortex. A cyst in the upper full measures 2.4 cm x 1.7 cm x 2.0 cm.OTHER: Left kidney measures 10.6 cm in length with increased echogenicity of the renal cortex.Spleen is normal in echogenicity measuring 7.2 cm in length.
1. Findings suggestive of hepatic steatosis but no focal hepatic lesions. 2. Increased bilateral renal echogenicity raises the possibility of parenchymal dysfunction. There is a benign appearing cyst in the upper pole of the right kidney. 3. Sludge in the gallbladder with no evidence of cholecystitis. 