26-year-old female with transaminitis and MDS/MPN, evaluate liver size and pathology, spleen size. LIVER: Measures 16.4 cm in length. Increased hepatic echogenicity without discrete focal lesion. The main portal vein demonstrates antegrade flow of 0.5 m/s, slightly elevated. BILIARY TRACT: No significant abnormalities noted.PANCREAS: The distal pancreas is not well-visualized due to bowel gas. The visualized portions of the pancreas appear unremarkable.SPLEEN: Measures 18.1 cm in length without focal lesion.KIDNEY: No significant abnormalities noted. OTHER: No significant abnormalities noted.
1. Marked splenomegaly and mild hepatomegaly with increased hepatic echogenicity consistent with diffuse parenchymal disease or hepatic steatosis.2. Mildly elevated velocity of the main portal vein. 