Male 36 years old Reason: eval for liver disease History: persistently elevated LFTs w/o clear etiology despite work-up LIVER: Diffusely increased hepatic attenuation most compatible with fatty infiltration. No focal hepatic mass. No nodularity to the contour of the liver to suggest cirrhosis. Main portal vein is patent with normal directional flow and a peak velocity of 17 cm/s.BILIARY TRACT: No intra or extrahepatic biliary ductal dilatation. Common bile duct measures 2 mm. No evidence of acute inflammation of the gallbladder. No gallstones.PANCREAS: The visualized portions of the pancreas are normal in appearance.SPLEEN: Spleen is normal in appearance measuring 11.5 cm.KIDNEYS: Normal cortical medullary differentiation bilaterally. No hydronephrosis, shadowing calculi, or mass. Anechoic cyst in the superior pole the right kidney measures 2.0 x 1.9 x 1.5 cm, similar to what was seen on prior CT. Right kidney measures 12.9 cm. Left kidney measures 12.0 cm.OTHER: No ascites
Diffusely increased hepatic attenuation most compatible with fatty infiltration. No focal hepatic mass or sonographic evidence of cirrhosis.