47 years old, Male, Reason: heavy alcohol -- liver and spleen appear ULN History: none LIVER: The liver size is within normal limits measuring 15.2 cm in length. Diffuse coarse increased echogenicity of the hepatic parenchyma is consistent with fatty infiltration. No definite nodularity of the liver to suggest cirrhosis. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 10.8 cm in length. RIGHT KIDNEY: Kidney measures 11.7 cm in length. Normal echotexture. Nodular echogenic focus in the superior pole of the right kidney without posterior shadowing measures 1.6 x 1.8 x 1.8 cm and is favored to represent a angiomyolipoma. No hydronephrosis or shadowing calculus.LEFT KIDNEY: Kidney measures 10.9 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted.
1.Diffusely coarsened increased echogenicity of the liver is consistent with fatty infiltration.2.Nodular echogenic focus in the superior pole of the right kidney likely represents an angiomyolipoma.3.No evidence of hepatosplenomegaly.