60-year-old male with advanced heart failure possible transplant. LIVER:Liver echotexture normal to slightly increased. Mild hepatomegaly. No focal hepatic abnormality. Hepatic contour appears within normal limits. Limited color and spectral Doppler demonstrates patency and appropriate flow direction in the main portal vein. Waveform is pulsatile consistent with congestive heart failure. GALLBLADDER, BILIARY TRACT: Gallbladder is normal without cholelithiasis, wall thickening or pericholecystic fluid. The biliary tract is normal in caliber.PANCREAS: Inadequately visualized due to bowel gas.SPLEEN: No significant abnormality noted.KIDNEYS: The right kidney measures 12 cm in length. Echotexture is mildly increased consistent with parenchymal disease. Very small right renal cyst. No hydronephrosis, shadowing calculus or solid mass.Left kidney measures approximately 10.8 cm in length although is less well-visualized than the right due to limited scanning field related to cutaneous pads. Echotexture appears increased. There is a 2 cm simple-appearing left renal cyst. No hydronephrosis, obvious shadowing calculus or mass.ABDOMINAL AORTA: Inadequately visualized due to bowel gas.INFERIOR VENA CAVA: Distal abdominal inferior vena cava is normal and patent.OTHER: Right pleural effusion. Urinary bladder decompressed with Foley catheter.
1. Mild hepatomegaly with borderline increased echogenicity2. Echogenic kidneys with cysts.3. Right pleural effusion.4. Limited visualization of pancreas and aorta..