45-year-old male with AML now with neutropenic fever, bacteremia, and elevated bilirubin. LIVER: The liver measures 18.5 cm in length. The parenchyma is moderately echogenic. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.3 m/s.BILIARY TRACT: The gallbladder is contracted without evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: The spleen measures 17 cm in length. RIGHT KIDNEY: Kidney measures 10.8 cm in length. The cortex is mildly echogenic. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 12.9 cm in length. The cortex is mildly echogenic. No hydronephrosis, shadowing calculus or mass. A simple cyst is present in the mid pole measuring 1.2 x 1.0 x 0.9 cm.OTHER: No significant abnormalities noted.
1.Echogenic liver suggestive of fatty infiltration.2.Splenomegaly.