51 year old female epigastric pain after eating. LIVER: The liver measures 17 cm in length and has increased echogenicity. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.2 m/s.GALLBLADDER, BILIARY TRACT: There are no gallstones, pericholecystic fluid, or gallbladder wall thickening. There is no intra or extrahepatic biliary ductal dilatation. The common bile duct measures 4 mm in diameter. Sonographic Murphy's sign is negative.PANCREAS: The visualized proximal pancreas is normal in echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 10.4 cm in length. No evidence of hydronephrosis.OTHER: The left kidney measures 9.9 cm in length. No evidence of hydronephrosis.
1. Increased hepatic echogenicity consistent with hepatic steatosis.2. No cholelithiasis. 