LVAD with chronic kidney disease LIVER: Mildly coarse and echogenic liver without mass. Liver length 21 cmGALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Echogenic parenchyma. Right renal cyst. No worrisome mass, stone, or obstruction. Right kidney 11.7 cm in length.OTHER: Echogenic left renal parenchyma. Left renal cyst. No left renal hydronephrosis. Bilateral pleural effusions. Trace ascites. Spleen 11.2 cm in length.
Echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction without worrisome mass, stone, or obstruction. Hepatomegaly with mildly coarsened echogenic liver suggestive for liver parenchymal dysfunction; no ductal dilatation. Trace ascites.