56-year-old male with neutropenic fever, increased LFTs. LIVER: Measures 18.3 cm in length. Increased hepatic echogenicity without discrete focal lesion. Patent portal vein with antegrade flow. BILIARY TRACT: Gallbladder not clearly visualized, likely collapsed. No evidence of cholelithiasis, pericholecystic fluid, or biliary ductal dilation. PANCREAS: The pancreas is incompletely imaged due to bowel gas. The imaged portions of the pancreas appear unremarkable. SPLEEN: Enlarged measuring 18.2 cm in length.KIDNEY: No hydronephrosis, nephrolithiasis, or solid mass. OTHER: No significant abnormalities noted.
1. No evidence of cholelithiasis or cholecystitis. 2. Hepatomegaly with increased echogenicity consistent with hepatic steatosis or parenchymal disease, without discrete focal lesion. 3. Splenomegaly. 