Reason: heart transplant w/u History: see above LIVER:Mild increased echogenicity may suggest a stenosis. No focal hepatic lesions. Portal vein is patent. Increased pulsatility of the main portal vein may suggest right-sided heart failure. Liver measures 19.2 cm in craniocaudal dimension.GALLBLADDER, BILIARY TRACT: Status post cholecystectomy.PANCREAS: Pancreas is partially obscured.SPLEEN: Spleen measures 11.9 cm in length.KIDNEYS: Simple appearing right mid pole cyst measures 1.6 x 1.7 x 1.9 cm. Exophytic simple appearing right upper pole cyst measures 6.7 x 2.2 x 3.6 cm. Simple appearing left mid to lower pole cysts measures 5.7 x 4.9 x 5.1 cm ABDOMINAL AORTA: The proximal abdominal aorta measures 2.4 x 1.7 x 1.4 cm. The mid abdominal aorta measures 2.0 cm but is partially obscured by overlying bowel gas. The distal abdominal aorta and iliac arteries not visualized due to bowel gasINFERIOR VENA CAVA: IVC is patent.OTHER: Small bilateral effusions.
1.Increased pulsatility of the main portal vein may suggest right-sided heart failure.2.Small bilateral effusions.3.Diffuse hepatic echogenicity suggestive of steatosis.4.Simple appearing bilateral renal cysts.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.