Reason: CT abdomen with innumerable hepatic hypodensities on 11/11/16 History: AML s/p chemotherapy complicated by prolonged pancytopenia. LIVER: The liver measures 14.4 cm in length. Mildly increased parenchymal echogenicity is suggestive of fatty infiltration/parenchymal dysfunction. The portal triads are perhaps mildly echogenic. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.26 m/s.BILIARY TRACT: The gallbladder appears contracted. No gallbladder wall thickening or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: Not well visualized.SPLEEN: No significant abnormalities noted.The spleen measures 6.3 cm in length. RIGHT KIDNEY: Kidney measures 10.6 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 10.7 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.OTHER: Right pleural effusion. The IVC is mildly dilated.
Mildly coarse liver echotexture, may represent nonspecific fatty infiltration/parenchymal dysfunction. No focal liver lesion identified. Dedicated cross-sectional imaging may be considered for further evaluation as clinically warranted.