Coagulopathy and elevated ammonia LIVER: Mildly coarse liver echotexture without mass. Limited Doppler interrogation of the main portal vein demonstrates a patent main portal vein with normal directional flow. Liver length 15.6 cm.BILIARY TRACT: Gallbladder sludge without acute inflammation or ductal dilatation.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. 9.2 cm in length RIGHT KIDNEY: Echogenic parenchyma without mass, stone, or hydronephrosis. 9.1 cm in length OTHER: Echogenic left renal parenchyma without mass, stone, or hydronephrosis. Left kidney 10.3 cm in length. Small bilateral pleural effusions
Mildly coarse liver echotexture suggestive for parenchymal dysfunction/fatty infiltration without mass or ductal dilatation. Gallbladder sludge without acute inflammation. No ascites. Small bilateral pleural effusions.Echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction without mass, stone, or hydronephrosis.