Male 64 years old Reason: Evaluate chronic elevated transaminases r/o fatty liver vs cirrhosis History: Chronic elevated transaminases LIVER: Liver measures 13.4 cm. Normal echogenicity. No focal liver lesions.BILIARY TRACT: Cholelithiasis without sonographic evidence of cholecystitis. There is mild gallbladder wall thickening likely secondary to chronic changes. No evidence of intra or extrahepatic biliary dilatation.PANCREAS: Not well visualized due to overlying bowel gas.SPLEEN: No significant abnormalities noted. Spleen measures 8.9 cm.RIGHT KIDNEY: Bilateral echogenic kidneys. Right kidney measures 6.3 cm. No evidence of hydronephrosis. OTHER: No significant abnormalities noted.
Cholelithiasis. Slight atrophic and echogenic right kidney.