Female 41 years old; evaluate for fatty liver LIVER: The liver measures 15.0 cm in length. There is coarse, slightly increased echogenicity of the liver parenchyma. No focal hepatic lesions. No intrahepatic ductal dilation is seen. There is a minimally complex hypoechoic hepatic cyst measuring 1.9 cm x 1.3 cm x 1.1 cm. The main portal vein is patent with normal hepatopetal flow measured at 26.0 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 3.0 mm. No stones are seen. No pericholecystic fluid. The common bile duct measures 2.8 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 7.5 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 11.2 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 11.0 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.
1. The liver has course slightly increased echogenicity, which is compatible with fatty infiltration/hepatic cellular dysfunction. No worrisome masses seen.2. There is a minimally complex hepatic cyst in the right lobe measuring 1.9 cm x 1.3 cm x 1.1 cm.