Female; 43 years old. Reason: elevated transaminases; +HepBsag LIVER: The liver measures 13.7 cm in length. The surface is smooth. The parenchyma is increased in echogenicity with a coarsened echotexture. The main portal vein is patent and demonstrates pedal flow with peak velocity of 0.2 m/sec. No worrisome masses identified. There is no ascites.BILIARY TRACT: The gallbladder is normal in appearance. There is no shadowing stone or gallbladder wall thickening. The common duct measures 4 mm in diameter. There is no intrahepatic biliary ductal dilatation.PANCREAS: The body of the pancreas are unremarkable. The tail is obscured by overlying bowel gas.SPLEEN: The spleen measures 8.7 cm in length.RIGHT KIDNEY: The right kidney measures 10.3 cm in length. The cortex is normal echogenicity. There is no shadowing stone, hydronephrosis, or worrisome mass identified. OTHER: The left kidney measures 10.3 cm in length and is partially visualized.
1.Echogenic and coarse liver parenchyma suggestive of chronic liver disease/fatty infiltration. 2.No worrisome hepatic lesion.