Male 73 years old; Reason: 73M recent scrotal abscess s/p I\T\D with rising LFTs, eval for liver pathology History: as above LIVER: The liver measures 7.0 cm in length. There is increased echogenicity of the liver parenchyma. No focal hepatic lesions. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow. GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 2.5 mm. There is echogenic material in the gallbladder that could represent sludge or stones.. No pericholecystic fluid. The common bile duct measures 4.7 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: Evaluation spleen is limited on this study.RIGHT KIDNEY: The right kidney measures 10.1 cm in length. The cortex has increased echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 9.6 cm in length. The cortex has increased echogenicity. No hydronephrosis, stones, or worrisome masses are seen.OTHER: There are trace bilateral pleural effusions study.
1. Increased echotexture of liver consistent with diffuse parenchymal dysfunction/fatty infiltration. No masses.2. Increased echogenicity of kidneys consistent with medical renal disease/parenchymal dysfunction.3. Sludge or stones in the gallbladder without signs of acute cholecystitis.