70-year-old male with hepatitis. LIVER:The liver measures 20.0 cm. There is coarse echotexture of the liver. No masses, ascites, or intrahepatic biliary dilation. The portal vein is patent with normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: The gallbladder appears to be contracted. There is echogenic shadowing foci consistent with cholelithiasis. No acute inflammation. The common bile duct measures 6.5 mm. The gallbladder wall measures 2.6 mm. No pericholecystic fluid.PANCREAS: Evaluation the pancreas is limited by overlying bowel gas.SPLEEN: Spleen measures 11.5 cm without sonographic abnormalities.KIDNEYS: The right kidney measures 10.8 cm. The cortex has normal echotexture. No shadowing calculi, mass, or hydronephrosis. The left kidney measures approximately 10.9 cm. The cortex has normal echotexture. No shadowing calculi, mass, or hydronephrosis. OTHER: No significant abnormality noted.
1. Coarse echotexture of liver consistent with chronic liver disease/parenchymal dysfunction. No mass or ascites.2. Cholelithiasis as described above without evidence of acute inflammation or ductal dilatation.3. Hepatomegaly.