Elevated LFTs, abdominal pain LIVER: Liver measures 18.3 cm with mild increased echogenicity consistent with hepatic steatosis. No focal lesions noted. No intra or extrahepatic biliary ductal dilatation noted. Portal vein demonstrates normal flow directionality and patency.GALLBLADDER, BILIARY TRACT: Gallbladder is well distended with normal gallbladder wall thickness. No pericholecystic fluid. Common hepatic duct measures up to 5 mm.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Right kidney measures 10.3 cm the left kidney measures 9.9 cm. Increased echogenicity noted bilaterally consistent with chronic medical renal disease. No focal lesions or hydronephrosis. Spleen measures 10.8 cm without any focal lesion.OTHER: No ascitesRight pleural effusion
Echogenic kidneys consistent with chronic medical renal diseaseMild hepatic steatosis noted.Right pleural effusion