62-year-old male with increased LFTs, evaluate for steatosis, fibrosis, portal hypertension. LIVER: Measures 18.6 cm in length. Markedly increased hepatic echogenicity without discrete focal lesion. Note that the hepatic echotexture limits penetration and evaluation of deeper structures on this examination. Patent main portal vein with antegrade flow measures 0.2 m/s.BILIARY TRACT: No cholelithiasis or gallbladder wall thickening, pericholecystic fluid, or sonographic Murphy sign. No biliary ductal dilation.PANCREAS: The pancreas is obscured by bowel gas. The imaged portions of the pancreas appear unremarkable.SPLEEN: No significant abnormalities noted.KIDNEY: No significant abnormalities noted. OTHER: No significant abnormalities noted.
Increased hepatic echogenicity consistent with steatosis or parenchymal disease.