39-year-old female presents with right upper quadrant pain. Evaluate for hepatobiliary pathology. LIVER:Measures 18.7 cm. Increased, coarse echogenicity of the parenchyma. No focal mass, ascites, or intrahepatic biliary dilation. The portal vein is patent with normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: The gallbladder is nondistended and the anechoic lumen. No pericholecystic fluid, stones, or sludge. The gallbladder wall measures 0.1 cm. The common hepatic duct measures 0.4 centers. Negative sonographic Murphy's sign.PANCREAS: Evaluation of the pancreas is limited due to overlying bowel gas.SPLEEN: Measures 8.2 cm without sonographic abnormalities.KIDNEYS: Right kidney measures 10.6 cm. Left kidney measures 9.5 cm. Unremarkable echogenicity. No shadowing calculi, hydronephrosis, or focal mass. OTHER: No significant abnormality noted.
1. Increased and coarse echotexture of the liver consistent with chronic liver disease and fatty infiltration/parenchymal dysfunction.2. No sonographic evidence of cholelithiasis.