55 years old, Female, Reason: 55F with abdominal pain that awakes her at night History: abdominal pain LIVER: The liver measures 15.2 cm in length. Diffusely increased echogenicity of the liver is consistent with fatty infiltration. No focal hepatic lesion identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.3 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. Per ultrasound technologist, the sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common duct measures 3 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 10.5 cm in length. RIGHT KIDNEY: Kidney measures 12.6 cm in length. Normal echotexture. No hydronephrosis or shadowing calculus. LEFT KIDNEY: Kidney measures 12.2 cm in length. Normal echotexture. No evidence of hydronephrosis or shadowing calculus. Left mid pole renal cyst measures 1.6 x 1.6 x 1.9 cm.OTHER: No significant abnormalities noted.
1. Normal gallbladder and biliary tract with no evidence of cholelithiasis or cholecystitis.2. Diffusely increased echogenicity of the hepatic parenchyma is consistent with fatty infiltration.