Reason: elevated alkaline phosphatase, abdominal pain. LIVER: The liver measures 21 cm in length. Mildly increased parenchymal echogenicity is suggestive of fatty infiltration/parenchymal dysfunction. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.36 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 4 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 12.0 cm in length. RIGHT KIDNEY: Kidney measures 8.1 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass. There is a cystic area inferior to the right kidney which is likely related to patient's known AML as characterized on prior prior CT.LEFT KIDNEY: Kidney measures 13.4 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted.
Hepatomegaly with coarse hepatic echotexture suggestive of parenchymal dysfunction. No associated biliary ductal dilatation or evidence of cholecystitis.