History of CHF and abnormal LFTs. LIVER:The liver measures 22 cm in length. It is mildly echogenic. The hepatic veins are dilated. Normal hepatopedal portal venous blood flow at 30 cm/s. No focal suspicious lesion. No intrahepatic biliary ductal dilatation.GALLBLADDER, BILIARY TRACT: No extrahepatic biliary ductal dilatation with the common duct measuring 4 mm. Status post cholecystectomy.PANCREAS: The visualized portions of pancreatic head and body are unremarkable. The remainder is obscured by overlying bowel gas shadowing.SPLEEN: The spleen measures 17 cm in length without a focal lesion.KIDNEYS: The right kidney measures 10.8 cm in length without hydronephrosis, shadowing nephrolithiasis or suspicious lesion. Note is made of a 7 mm simple appearing cyst. Probable extrarenal pelvis. Color Doppler demonstrates hilar blood flow.The left kidney measures 11.9 cm in length without hydronephrosis, shadowing nephrolithiasis or suspicious lesion. Two simple appearing cysts are noted. Color Doppler demonstrates hilar blood flow.ABDOMINAL AORTA: The abdominal aorta is normal in caliber and tapers distally. It measures 2.1 cm proximally 1.9 cm at the mid-portion and 1.9 cm distally. INFERIOR VENA CAVA: The visualized portions of the inferior vena cava are unremarkable.OTHER: Partially distended bladder is otherwise unremarkable.
Hepatosplenomegaly. Dilated hepatic veins and mildly coarse liver parenchyma suggestive of hepatic congestion. Probable steatosis. No hydronephrosis. Bilateral simple appearing cysts.