Male; 41 years old. Reason: abdominal fullness, early satiety, h/o EtOH LIVER: The liver measures 17.8 cm in length. The parenchyma demonstrates a mildly coarsened echotexture. No worrisome hepatic mass is identified. The portal vein is patent and demonstrates hepatopetal flow with a peak velocity of 0.2 m/sec.BILIARY TRACT: The gallbladder is normal in appearance. There is no cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. There is no intrahepatic or extrahepatic biliary ductal dilatation.PANCREAS: Head and body of the pancreas are unremarkable. The tail is obscured by overlying bowel gas.SPLEEN: The spleen measures 7.6 cm in length.RIGHT KIDNEY: The right kidney measures 11.5 cm in length. The renal cortex is normal in echogenicity. There is no hydronephrosis or shadowing renal stone.LEFT KIDNEY: The left kidney measures 11.3 cm in length. The renal cortex is normal in echogenicity. There is no hydronephrosis or shadowing renal stone.
Hepatomegaly and mildly coarsened echotexture of liver parenchyma compatible with fatty infiltration/parenchymal dysfunction. No worrisome hepatic mass is identified.