The study reveals heteroechoic live parenchymal echogenicity with mild surface nodularity. Hypertrophic left lobe and hypertrophic right lobe liver are seen. There are still seen multiple focal fatty infiltration scattered at both lobes liver. No definite evidence of focal mass lesion is detected. No intra- orextrahepatic bile duct dialatation is noted. Non-visualized main portal vein is noted with multiple dilated tortuous vessels at porta hepatis region; chronicocclusion of main portal vein with multiple cavernous transformation is likely. Non-visualized gallbladder is noted. Visualized pancreas appears unremarkable. Enlarge with bulging spleen is observed, measured about 11.36 cm in length. Normal size and echogenicity of both kidneys are seen. No renal calculi or hydronephrosis is detected.