Female 25 years old Reason: elevated lfts History: elevated lfts LIVER: Liver is minimally homogeneously echogenic which may be seen in setting of fatty infiltration. No focal hepatic lesions. Liver measures 17.3 cm in length. Main portal vein is patent with appropriate directional flow and a peak velocity of 27.1 cm/s.BILIARY TRACT: Patient is status post cholecystectomy. Common duct measures 5.5 mm. No intra or extrahepatic biliary ductal dilatation. PANCREAS: Tail of the pancreas is obscured by overlying bowel gas. Remaining visualized portions are unremarkable. Small peripancreatic lymph node measures 1.5 x 0.8 x 2 cm.SPLEEN: Spleen measures 5.7 cm. Normal and homogeneous echogenicity.RIGHT KIDNEY: Right kidney measures 10.3 cm and demonstrates normal cortical medullary echogenicity. No shadowing calculi or hydronephrosis.LEFT KIDNEY: Left kidney measures 11.2 cm and is normal in cortical medullary echogenicity. No shadowing calculi or hydronephrosis.OTHER: No significant abnormalities noted.
No focal hepatic masses. Liver is minimally homogeneously echogenic which can be seen in the setting of fatty infiltration, similar to the prior exam.