74 years old, Female, Reason: Liver injury from hypotension or other etiology? History: elevated AST, ALT, bili LIVER: The liver measures 14.6 cm in length. Increased hepatic parenchymal echogenicity is consistent with fatty infiltration. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.4 m/s. BILIARY TRACT: Patient status post cholecystectomy. Common bile duct measures 3 mm.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 8 cm in length. RIGHT KIDNEY: Kidney measures 10.2 cm in length. Normal echogenicity. No hydronephrosis.LEFT KIDNEY: Kidney measures 9.0 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.OTHER: No evidence of ascites
1.Increased hepatic parenchymal echogenicity is consistent with fatty infiltration. 2.No evidence of ascites or splenomegaly.