61-year-old female with shock liver, recent aortic bifemoral bypass. Limited exam as patient is intubated and unable to lie in decubitus position.LIVER: Coarse heterogeneous echotexture measuring 16.8 cm in length. No focal hepatic lesions. Portal vein is patent with appropriate directional flow; peak velocity measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Collapsed gallbladder filled with stones. No gallbladder wall thickening. No pericholecystic fluid. Common duct measures 3 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Not well-visualized.RIGHT KIDNEY: Measures 11.7 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Left kidney and spleen are not well visualized.Small amount of left upper quadrant ascites.
1. Cholelithiasis with no evidence of cholecystitis.2. Coarse heterogeneous echotexture of the liver suggestive of parenchymal dysfunction/fatty infiltration.3. Small amount of ascites. 