53-year-old with history of abnormal liver function tests and hepatic steatosis. LIVER: The liver measures 16.9 cm in length. Mildly increased parenchymal echogenicity is suggestive of fatty infiltration/parenchymal dysfunction. Region of focal sparing is again present adjacent to the gallbladder fossa. 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 3 mm in diameterPANCREAS: No significant abnormalities noted in visualized portions.SPLEEN: The spleen measures 10.4 cm in length. RIGHT KIDNEY: Kidney measures 10.6 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 10.8 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted.
Hepatic steatosis, similar to prior. No new abnormalities. 