55 year-old female with abdominal discomfort and nausea. LIVER: The liver parenchyma is mildly heterogeneous and increased in echogenicity. The liver is mildly increased in size measuring 21.2 cm in craniocaudal dimension. No intrahepatic biliary ductal dilatation or focal hepatic lesion is identified. There is normal hepatopetal portal venous blood flow at 20 cm/sec.BILIARY TRACT: A normally distended gallbladder is noted without gallstones, wall thickening, pericholecystic fluid, or focal tenderness. No extrahepatic biliary ductal dilatation with the common duct measuring 3 mm.PANCREAS: The visualized pancreatic body and head are normal.SPLEEN: The spleen measures 9.2 cm in length.RIGHT KIDNEY: The right kidney measures 10.2 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident. OTHER: The left kidney measures 10.5 cm in length without hydronephrosis, shadowing calculus or a discrete lesion evident.
Mildly coarsened heterogeneous liver parenchyma compatible with diffuse fat infiltration and/or parenchymal dysfunction. No focal hepatic lesion or biliary ductal dilatation.