Female, 74 years old. AKI, abdominal pain. LIVER: The liver measures 19.3 cm, with coarse echotexture, and no focal lesion.The main portal vein is patent, with to-and-fro flow pattern.GALLBLADDER, BILIARY TRACT: No intrahepatic or extrahepatic biliary ductal dilatation. The common bile duct measures 0.3 cm. Gallbladder wall thickness is normal. Gallstones are noted.PANCREAS: The visualized portions of the pancreas are normal.RIGHT KIDNEY: 13.1 cm in length, with increased cortical echogenicity. A right upper pole simple cyst measures 1.2 x 1.0 x 1.3 cm. No hydronephrosis.LEFT KIDNEY: 11.0 cm in length, with increased cortical echogenicity. No focal lesion or hydronephrosis.SPLEEN: 8.7 cm in length, without focal lesion.ABDOMINAL AORTA: The abdominal aorta is normal in caliber throughout its course. The proximal abdominal aorta measures 2.7 x 2.1 cm. The mid abdominal aorta measures 2.6 x 2.5 cm. The distal abdominal aorta is obscured.INFERIOR VENA CAVA: IVC is mildly enlarged.OTHER: The bladder is distended and appears normal.
1.Cholelithiasis without evidence of acute cholecystitis or biliary ductal dilatation.2.Bidirectional flow in the portal vein, likely at least partially related to a known history of heart failure.3.Findings compatible with medical renal disease. No hydronephrosis.