43 year-old male with obesity and transaminitis. LIVER: The liver is mildly coarsened and increased in echogenicity. It is normal in size, measuring 15 cm in the craniocaudal attention with no intrahepatic biliary ductal dilatation or focal hepatic lesion evident. The liver capsule is smooth. Normal hepatopetal portal venous blood flow at 24 cm/sec.BILIARY TRACT: No extrahepatic biliary ductal dilatation with the common bile duct measuring 6 mm at the level of the pancreatic head. Normally distended gallbladder without gallstones, wall thickening, pericholecystic fluid, or focal tenderness.PANCREAS: The poorly visualized pancreatic head is grossly unremarkable. SPLEEN: The spleen measures 11.2 cm in length without a discrete abnormality.RIGHT KIDNEY: The right kidney measures 10.8 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident. OTHER: The left kidney measures 10.6 cm without hydronephrosis, shadowing calculus or discrete lesion evident.
Coarse echogenic liver parenchyma most commonly seen in diffuse fatty infiltration without a discrete lesion or biliary ductal dilatation.