74-year-old male with thrombocytopenia. Evaluate for hepatomegaly and splenomegaly. LIVER: Increased echogenicity of the liver measuring 16.0 cm in length. No focal hepatic lesions. Portal vein is patent with appropriate directional flow; peak velocity measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Normal echogenicity of the gallbladder. No gallbladder wall thickening. No pericholecystic fluid. Common duct measures 4 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Not well assessed.RIGHT KIDNEY: Right kidney measures 12.0 cm in length. No hydronephrosis or shadowing calculus are noted.OTHER: Spleen is mildly enlarged measuring 12.1 cm in length.Left kidney measures 12.2 cm in length. No hydronephrosis or shadowing calculus are noted.
1. Increased echogenicity of the liver suggestive of parenchymal dysfunction/fatty infiltration. 2. Borderline splenomegaly. 