62-year-old male presents with abdominal distention and generalized abdominal pain. LIVER:Measures 14.9 cm. Increased and coarse echogenicity of the liver parenchyma. Micronodular contour suggestive of early cirrhosis. No focal mass or intrahepatic biliary dilation. Mild ascites.GALLBLADDER, BILIARY TRACT: The gallbladder is nondistended with an anechoic lumen. Measures 0.2 cm. No pericholecystic fluid, stones, or sludge. Common duct measures 0.3 cm.PANCREAS: Evaluation is limited due to overlying bowel gas.SPLEEN: Measures 13.4 cm. Calcification in the parenchyma likely represents prior granulomatous disease.KIDNEYS: Right kidney measures 9.6 cm. Left kidney measures 11.0cm. Unremarkable echogenicity. No shadowing calculi, hydronephrosis, or focal mass. Partially imaged right-sided hydroureter. OTHER: Bilateral pleural effusions noted.
1. Increased and coarse echogenicity and micronodular contour of liver suggestive of chronic liver disease/parenchymal dysfunction and early cirrhosis. Mild ascites.2. Splenomegaly and prior granulomatous disease.3. Partially imaged right-sided hydroureter without hydronephrosis.4. Bilateral pleural effusions.