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Liver: Normal in size shape. There is increase echogenicity liver parenchyma involve the periportal region of the medial segment of the left lobe (segment IV) Intrahepatic biliary channels are not dilated. Intrahepatic vessels appear normal. No evidence of any focal lesion is detected in the liver. Gall Bladder: Normal in size & shape with smooth outline. Wall thickness is within normal limit. No collection is seen in the pericholecystic area. GB could be visualized well through the mid-clavicular line. Porta Hepatis: CBD caliber is within normal limit at his age. No abnormality could be detected within the lumen of the CBD. Portal vein appears normal. Spleen: Normal in size, 8.44 cm, regular in shape with smooth outline, Parenchymal echo appears normal. Pancreas: Visualized parenchyma appears normal. Main pancreatic duct is not dilated. KIDNEY, URETER & U. BLADDER Rt kidney: Normal in size, regular in shape with smooth outline. Bipolar length 9.16 cm. Cortex & medulla are well differentiated. Central echo-complex is echogenic and normal. No evidence of any focal/diffuse lesion or calculus is detected. Lt Kidney: Normal in size, regular in shape with smooth outline. Bipolar length 8.44 cm. Central echo-complex is echogenic and normal. No evidence of any focal/diffuse lesion or calculus is detected. Ureter: No abnormality could be detected in either of the ureter. Urinary Bladder: Well filled with smooth outline. Wall thickness is within normal limit. No intravesical lesion or calculus is detected. Prostate: Normal in size. It shows focal echogenicity with smooth and intact capsule. It measures – Volume: 16.31 ml. COMMENT: Present ultrasound finding suggestive of Focal Fat sparing of the liver parenchyma. However hepatic adenoma/neoplastic involvement cannot be ruled out.