50-year-old male patient with right upper quadrant abdominal pain. Evaluate for biliary etiology. LIVER: The liver measures 16.0 cm in length. No focal hepatic lesion is identified. Hepatic parenchymal echogenicity is increased. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 3 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 10.1 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 10.3 cm in length. No evidence of hydronephrosis.The spleen measures 11.7 cm in length.
1. Increased hepatic parenchymal echogenicity which can be seen with hepatic parenchymal dysfunction.2. No cholelithiasis or sonographic evidence of acute cholecystitis. 