53-year-old male with congestive heart failure, precardiac transplant. Evaluate for malignancy. Exam is very limited by body habitus and patient inability to cooperate.LIVER:Limited without gross, focal abnormality. Liver appears somewhat echogenic which is nonspecific but could be due to fatty liver. Liver is enlarged, measuring 21 cm in length. Limited evaluation of the portal vein demonstrates appropriate flow direction and pulsatile waveform consistent with heart failure.GALLBLADDER, BILIARY TRACT: Small non--- dependent, nonmobile echogenic focus in the gallbladder consistent with a 4 mm polyp. Biliary tract is normal in caliber.PANCREAS: LimitedSPLEEN: Enlarged without gross, focal abnormality. Focus of accessory splenic tissue noted.KIDNEYS: Right kidney measures 11.1 cm in length without gross abnormality. Left kidney measures 11.6 cm in length without gross abnormality. ABDOMINAL AORTA: LimitedINFERIOR VENA CAVA: Limited with ECMO catheter notedOTHER: Right pleural effusion.
Very limited exam with hepatosplenomegaly and gallbladder polyp. Right pleural effusion.