61 years old, Male, Reason: anisarca, heavy EtOH drinker, check liver History: anisarca LIVER: The liver is enlarged measuring 24.4 cm in length. There is mildly increased echogenicity of the liver parenchyma No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of velocity m/s.BILIARY TRACT: The gallbladder is nondistended. There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: The spleen is difficult to visualize on this ultrasound examination. No significant abnormalities noted. The spleen measures 9.9 cm in length. RIGHT KIDNEY: Kidney measures 11.7 cm in length. Normal echotexture. Nohydronephrosis or shadowing calculus.LEFT KIDNEY: Kidney measures 11.0 cm in length. Normal echotexture. Nohydronephrosis or shadowing calculus.OTHER: No definite evidence of ascites in this exam.
1.Hepatomegaly with mild to moderately increased echogenicity of the liver consistent with fatty infiltration.2.Normal gallbladder and biliary tract with no evidence of cholelithiasis or cholecystitis.