85-year-old female with elevated alkaline phosphatase. LIVER: Mildly heterogeneous hepatic echotexture without discrete focal lesion.BILIARY TRACT: Status post cholecystectomy. No biliary ductal dilation.PANCREAS: The pancreas is not well-visualized due to bowel gas.SPLEEN: The spleen is partially visualized due to bowel gas, measures 7.7 cm. RIGHT KIDNEY: No significant abnormalities noted.OTHER: No significant abnormalities noted.
Mild increased hepatic echogenicity may represent hepatic steatosis or parenchymal disease. No additional findings to account for the patient's symptoms. 