Real-time sonographic examination right upper quadrant obtained. The gallbladder is unremarkable. No gallstones are seen. No biliary dilatation was seen. Common bile duct measures 2 mm. Heterogeneous known uniform echo pattern liver is seen. No discrete focal liver lesions were seen. No solid or cystic lesions were seen. No intrahepatic bile duct dilatation was seen. Findings suggest liver parenchymal disease. Correlate clinically. Pancreas not seen due to bowel gas. No fluid seen right upper quadrant.
It made sense that it says "findings suggest liver parenchymal disease" but after seeing two gasterologist/liver specialist, they both agreed it was possible fatty liver which is very common. So there was no more look into the liver.