Male 30 years old; Reason: Elevated transaminases, eval liver, gall bladder, pancreas History: None LIVER: The liver measures 19.4 cm in length. There is increased echogenicity of the liver parenchyma. No focal hepatic lesions. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow measured at 23.6 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 3.0 mm. No stones or sludge are seen. No pericholecystic fluid. The common bile duct measures 2.6 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 13.1 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 10.0 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 11.7 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.OTHER: No significant abnormality noted.
1. There is increased echogenicity of the liver compatible with fatty infiltration/hepatocellular dysfunction. No focal hepatic lesions are seen.2. Mild hepatomegaly is present, the spleen size is at the upper limits of normal.3. No evidence of cholelithiasis or acute cholecystitis are seen.