51-year-old male patient with increasing AST/ALT. History of hepatitis C. LIVER: The liver measures 17.4 cm in length. Hepatic parenchymal echogenicity is increased. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 3 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 9.9 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 10.4 cm in length. No evidence of hydronephrosis.The spleen measures 11 cm in length.
1. Increased hepatic echogenicity which can be seen with chronic liver disease/hepatic parenchymal dysfunction. 2. No focal hepatic lesion. 