44-year-old female with transaminitis. Evaluate liver. LIVER:Measures 14.8 cm. Increased echogenicity. No focal mass, ascites, or intrahepatic biliary dilation. The portal vein is patent with normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: The gallbladder is nondistended with an anechoic lumen. The wall measures 2.7 mm. No pericholecystic fluid, stones, or sludge. The common bile duct measures 2.8 mm.PANCREAS: Evaluation is limited due to overlying bowel gas.SPLEEN: Measures 8.4 cm without sonographic abnormalities.KIDNEYS: Right kidney measures 9.4 cm. Left kidney measures 11.0 cm. Normal echogenicity. No shadowing calculi, hydronephrosis, or focal mass. OTHER: No significant abnormality noted.
1. Increased hepatic echogenicity consistent with fatty infiltration and chronic liver disease/parenchymal dysfunction. No mass or ascites.