Pulmonary hypertension with abdominal distention LIVER: Mildly coarse echotexture without mass. Liver length 18 cm.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Echogenic parenchyma without worrisome mass, stone, or hydronephrosis. Multiple renal cysts. Right kidney 11.3 cm in length.OTHER: Left kidney not well visualized due to overlying dressings. Spleen 14.9 cm in length. Trace ascites. Left pleural effusion.
Mildly coarse liver echotexture associated with mild hepatomegaly without mass or ductal dilatation. Trace ascites. Echogenic right kidney parenchyma raises the possibility of medical renal disease/parenchymal dysfunction without hydronephrosis.