63-year-old male with anemia, neutropenia and abnormal liver function. Evaluate for source of infection and abnormal liver function. LIVER: Liver is significantly echogenic consistent with fatty infiltration or other source of parenchymal dysfunction. There is no focal hepatic abnormality identified.GALLBLADDER, BILIARY TRACT: Gallbladder is decompressed with cholecystostomy tube in place which limits evaluation. The visualized biliary tract is normal in caliber.PANCREAS: Not visualized due to bowel gas.RIGHT KIDNEY: Right kidney is echogenic consistent with parenchymal disease. No hydronephrosis.OTHER: Left kidney is echogenic consistent with parenchymal disease.Diffuse ascites without change.
No significant change.Echogenic liver and kidneys.Ascites.