Volume overload, rule out cirrhosis or evidence of HCC, elevated alkaline phosphatase LIVER: Liver measures 16.9 cm, diffuse coarse heterogenous echotexture. No definite focal lesion noted. Portal vein is patent with normal flow directionality.Calcified granuloma noted in the right lobe of liver. Mild perihepatic fluid noted.BILIARY TRACT: Gallbladder is well-distended without any gallstones. No evidence of gallbladder wall thickening. Pericholecystic fluid is noted.Sonographic Murphy sign is negative.CBD measures 3 mm within normal limits.PANCREAS: Pancreas as visualized appears unremarkable. Tail of pancreas is not visualized due to overlying bowel gas.SPLEEN: No significant abnormalities noted. Spleen measures 11.1 cm.RIGHT KIDNEY: Right kidney measures 11.4 cm left kidney measures 10.7 cm. Normal echotexture of the kidneys. No hydronephrosis or focal lesionsOTHER: No ascites
Diffuse coarse echotexture of the liver consistent with chronic liver disease.Mild ascites.