65-year-old female patient with mildly elevated LFTs. Patient is mildly overweight and also on Lipitor. Serologies negative. LIVER: The liver measures 14.3 cm in length. Hepatic parenchymal echogenicity is increased. There is a region of hypoechogenicity adjacent to the gallbladder fossa which is in the typical location of fatty sparing. 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 10.2 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 10.3 cm in length. No evidence of hydronephrosis.The spleen measures 7.5 cm in length.
Hepatic steatosis with focal fatty sparing. 