Presentation
Gallstones?
Patient Data
Liver has diffuse increased echogenicity with posterior shadowing impairing the evaluation of the deep liver parenchyma and diaphragm. Liver contours remain smooth, no morphological features of cirrhosis. Focal fatty sparing adjacent to the gallbladder fossa.
No biliary tree dilatation to suggest obstruction. Downstream CBD is obscured by overlying bowel gas. Gallbladder has thin and smooth walls and has mobile sludge within. Multiple gallbladder polyps measuring up to 1.0 cm. No pericholecystic fluid or gallbladder tenderness while examination.
Bilateral non-obstructive renal stones. Kidneys are otherwise normal.
Case Discussion
Liver showing diffuse increased echogenicity with posterior shadowing impairing the evaluation of the deep liver parenchyma and diaphragm, in keeping with severe hepatic steatosis (grade III).