Abnormal liver function tests. LIVER: Non-cirrhotic liver morphology. Mildly heterogeneous parenchymal echogenicity. 15 cm in length. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Contracted gallbladder, which limits visualization and evaluation. No sonographic Murphy's sign.PANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 10.4 cm in length. The left kidney is 10.3 cm in length. No suspicious renal lesions are evident. No hydronephrosis is present.SPLEEN: 8.9 cm in length, without focal lesions evident.OTHER: No significant abnormalities noted. No ascites.
Heterogeneous hepatic echogenicity, compatible with parenchymal dysfunction.