Reason: baseline examination as part of heart transplant evaluation LIVER:The liver measures 15 cm in length. Coarse, echogenic hepatic parenchyma. The hepatic veins appear dilated. The portal vein is patent with normal hepatopedal directional portal venous flow, peak velocity 16.8 cm/s and mildly pulsatile. No focal mass.GALLBLADDER, BILIARY TRACT: No significant abnormality noted. The gallbladder wall measures 0.2 cm and the common bile duct measures 0.3 cm. No biliary ductal dilatation. The gallbladder is unremarkable without evidence of shadowing stones or sludge.PANCREAS: Obscured by bowel gas.SPLEEN: The spleen measures 10.6 cm in length.KIDNEYS: The right kidney measures 9.1 cm in length. The left kidney measures 9.7 cm in length. Echogenic renal parenchyma bilaterally. Small nonobstructive renal stone in the mid right kidney measures a maximum of 0.7 cm. Minimally complex cyst in the mid to lower pole of the left kidney measures 1.7 x 0.9 cm. No hydronephrosis.ABDOMINAL AORTA: The proximal aorta measures 1.9 x 2.1 cm, mid aorta 1.7 x 1.8 cm, distal aorta 1.4 x 1.5 cm, of normal size without ectasia or aneurysm. The right iliac artery measures 1.0 x 0.9 cm and the left iliac artery measures 0.9 x 0.9 cm.INFERIOR VENA CAVA: No significant abnormality noted.OTHER: No ascites.
1. Coarse, echogenic liver along with dilated hepatic veins and pulsatile portal venous flow are consistent with congestive hepatopathy likely related to CHF.2. Subcentimeter nonobstructive right renal stone.3. Echogenic renal parenchyma, consistent with medical renal disease.