Male 35 years old; Reason: to determine NASH staging History: none LIVER: The liver measures 21.9 cm in length. There is significantly increased echogenicity of the liver parenchyma which appears heterogeneous. There is also slight nodular appearance. No focal hepatic lesions. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow measured at 22.9 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 2.0 mm. A single shadowing and movable stone is seen within the gallbladder. This measures 0.5 cm x 0.3 cm. No pericholecystic fluid. The common bile duct measures 3.5 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 11.9 cm in length. The cortex hasnormal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 12.5 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.
The liver has significantly increased echogenicity compatible with fatty infiltration. There is also some slight nodularity which may represent early cirrhotic morphology. No worrisome masses are seen within the liver however detection of masses is limited due to significantly echogenic liver.