Reason: 62M refractory ALL with septic shock, rule out acalculous cholecystitis History: as above LIVER: The liver measures 17.1 centimeters in length, indicating mild hepatomegaly. Course hepatic parenchymal echotexture, consistent with hepatic steatosis, parenchymal dysfunction, or cirrhosis. The portal vein is patent with normal directional hepatopedal portal venous blood flow, peak velocity 16.2 cm/s. No focal masses.GALLBLADDER, BILIARY TRACT: Status post cholecystectomy. No biliary ductal dilatation. The proximal common bile duct measures 0.3 cm.PANCREAS: Obscured by bowel gas.RIGHT KIDNEY: The right kidney measures 11.4 cm in length. No evidence of hydronephrosis, masses, or shadowing calculi.LEFT KIDNEY: The left kidney measures 12.5 cm in length. No evidence of hydronephrosis, masses, or shadowing calculi.SPLEEN: The spleen measures 13.7 cm in length.OTHER: No significant abnormalities noted.
1. Mild hepatomegaly and coarse hepatic parenchymal echotexture, consistent with hepatic steatosis, parenchymal dysfunction, or cirrhosis.2. Status post cholecystectomy without biliary ductal dilatation.