51-year-old male with hepatomegaly. There is clinical concern for cirrhosis versus fatty liver. LIVER: Measures 21.1 cm. There is increased and coarse echogenicity of the parenchyma. No masses or ascites. The portal vein is patent with normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: The gallbladder is an large but does not appear distended. It measures 12.0 cm in length. No stones or sludge. Wall thickness is 2.0 mm. There is no pericholecystic fluid. The common bile duct measures 3.4 mm proximally and 7.7 mm distally.PANCREAS: Partially obscured by bowel gas but visualized parts are normal in appearance.SPLEEN: Measures 10.0 cm. No abnormalities noted.KIDNEYS: The right kidney measures 10.8 cm. The cortex has normal echogenicity. There is a nonobstructing stone measuring approximately 0.6 x 0.6 x 0.4 cm. No hydronephrosis. The left kidney measures approximately 10.2 cm. The cortex has normal echogenicity. No shadowing calculi or hydronephrosis. OTHER: No significant abnormality noted.
1. Increased and coarse echogenicity of the liver parenchyma consistent with chronic liver disease/parenchymal dysfunction. No masses or ascites.2. Hepatomegaly.3. Nonobstructive right nephrolithiasis without evidence of hydronephrosis as above.