Reason: assess liver and gallbladder History: N/V, elevated liver enzymes Exam is limited by patient's body habitus.LIVER: The liver measures 15.3 cm in length. Echogenic liver parenchyma. The portal vein is patent with normal directional hepatopedal portal venous blood flow, peak velocity 16.2 cm/s. No focal mass.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted. Small echogenic stone in the dependent aspect of the gallbladder. No pericholecystic inflammation or fluid. The gallbladder wall measures 0.4 cm. The common bile duct measures 0.3 cm. No biliary ductal dilatation.PANCREAS: Obscured by bowel gas.RIGHT KIDNEY: The right kidney measures 12.1 cm in length. No hydronephrosis or shadowing stones.LEFT KIDNEY: The left kidney measures 11.47 m in length. No hydronephrosis or shadowing stones.OTHER: The spleen measures 12.1 cm in length.
1. Echogenic hepatic parenchyma, consistent with hepatic steatosis or hepatic parenchymal dysfunction.2. Cholelithiasis without evidence of acute inflammation. No biliary ductal dilatation.