Reason: Evaluate for evidence of obstruction or renal disease History: Acute kidney injury. LIVER:The liver demonstrates increased echogenicity and mild cirrhotic morphology with no focal hepatic mass or biliary ductal dilatation. The liver measures 15.8 cm in length. GALLBLADDER, BILIARY TRACT: No pericholecystic fluid. Possible sludge is noted in the gallbladder. The gallbladder wall measures 3 mm in thickness.PANCREAS: Limited evaluation due to overlying bowel gas. No significant abnormalities.SPLEEN: The spleen is enlarged and measures 13.4 cm in length.KIDNEYS: The right kidney measures 11.7 cm in length and demonstrates normal echogenicity with no evidence of hydronephrosis. The left kidney measures 11.5 cm in length and demonstrates normal echogenicity with no evidence of hydronephrosis. ABDOMINAL AORTA: The proximal abdominal aorta measures 2.3 x 2.1 cm on is normal in appearance.INFERIOR VENA CAVA: No significant abnormality noted.OTHER: Right pleural effusion and trace ascites are noted.
1.Echogenic liver with mild cirrhotic morphology with no focal hepatic mass or biliary ductal dilatation. Patent hepatic vasculature and TIPS.2.Normal sonographic evaluation of the kidneys with no evidence of hydronephrosis or shadowing calculi.3.Mild ascites and splenomegaly.