Reason: please assess for liver pathology History: 64M with CAD, inferior MI, PVD p/w DOE, scleral icterus with recent very high transaminitis and hyperbilirubinemia LIVER: The liver measures 13.5 cm in length. Coarse, echogenic hepatic parenchyma. The portal vein is patent with normal directional hepatopedal portal venous blood flow, peak velocity 31.5 cm/s. No focal mass.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted. No shadowing stones or sludge. The gallbladder wall measures 0.2 cm. The common bile duct measures 0.3 cm. No biliary ductal dilatation.PANCREAS: Obscured by bowel gas.RIGHT KIDNEY: The right kidney measures 11.5 cm in length. No hydronephrosis or shadowing stones.LEFT KIDNEY: The left kidney measures 10.2 cm in length. No hydronephrosis or shadowing stones.OTHER: The spleen measures 10.7 cm in length. Trace perisplenic fluid.
1. Echogenic hepatic parenchyma, consistent with hepatic steatosis or parenchymal dysfunction. No biliary ductal dilatation.2. Trace perisplenic fluid, which is nonspecific.