Female 44 years old Reason: acute liver failure History: acetaminophen toxicity, LFTs uptrending LIVER: Liver measures 16.7 cm. No focal hepatic lesion. Mildly increased hepatic echogenicity.BILIARY TRACT: No intra or extra hepatic biliary ductal dilatation. Gallstones are present. No evidence of cholecystitis.PANCREAS: The visualized portions of the pancreas are within normal limits.SPLEEN: The spleen is normal in appearance measuring 11.2 cm. There is a small amount of ascites near the spleen.KIDNEYS: Left kidney is 11.5 cm. Right kidney is 11.2 cm. No shadowing calculus or hydronephrosis.OTHER: No significant abnormalities noted.
1.Increased echogenicity of the liver which may be seen in the setting of diffuse hepatic parenchymal dysfunction.2.Hepatic vessels are patent.