91-year-old male with history of elevated liver enzymes. Evaluate for obstructive liver disease. Evaluation was limited by patient's poor acoustic window.LIVER: No biliary dilatation or other significant abnormality. The liver measured 15 cm.BILIARY TRACT: Cholelithiasis, without findings of cholecystitis. No biliary dilatation.PANCREAS: Pancreas is not clearly visualized.SPLEEN: No significant abnormalities noted. Spleen measures 8.5 cm.RIGHT KIDNEY: Hyperechoic renal parenchyma. Right kidney measures 10 cm. OTHER: Hyperechoic left kidney parenchyma. Left kidney measures 10 cm.
Limited exam, without significant abnormality to explain the patient's elevated liver enzymes. Incidentally noted cholelithiasis and other findings as above.