Reason: elevated liver enzymes LIVER: Coarse, echogenic hepatic parenchyma. The liver measures 16.6 cm in length. The portal vein is patent with normal directional hepatopedal portal venous blood flow, 19.5 cm/s. No focal mass.GALLBLADDER, BILIARY TRACT: Sludge in the dependent aspect of the gallbladder. No evidence of acute pericholecystic inflammation. The gallbladder wall measures 0.2 cm. The common hepatic duct measures 0.3 cm. No biliary ductal dilatation. Negative sonographic Murphy's sign.PANCREAS: The pancreatic duct measures 0.1 cm.RIGHT KIDNEY: The right kidney measures 9.9 cm in length. No hydronephrosis or shadowing stones.LEFT KIDNEY: The left kidney measures 9.5 cm in length. No hydronephrosis or shadowing stones. Small 0.8 x 0.7 x 0.7 cm anechoic cyst.OTHER: No ascites.
1. Findings consistent with hepatic steatosis or parenchymal dysfunction.2. Cholelithiasis without acute inflammation or biliary ductal dilatation.