66 years old, Male, Reason: Periumbilical abd pain History: Please check GB, liver, pancreas LIVER: The liver is mildly enlarged measuring 20 cm in length. Increased parenchymal echogenicity is is suggestive of fatty infiltration. Focal hypoechoic hepatic lesion may represent focal fatty sparing although is indeterminate on this ultrasound examination. Further characterization with MRI is recommended. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The CBD is mildly enlarged measuring 10 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 9.7 cm in length. RIGHT KIDNEY: Kidney measures 9.1 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 10.2 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted.
1.Focal hypoechoic lesion may represent focal fatty sparing although is indeterminate on this ultrasound examination. Dedicated MRI is recommended for further characterization of this lesion.2.Fatty infiltration of the liver.3.No evidence of cholelithiasis or cholecystitis.