Elevated liver enzymes. Right-sided heart failure. LIVER: Non-cirrhotic liver morphology. Coarsened parenchymal echogenicity. 15 cm in length. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Cholelithiasis. No gallbladder wall thickening, pericholecystic fluid, or sonographic Murphy's sign.PANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 9.6 cm in length. The left kidney is 8.3 cm in length. No suspicious renal lesions are evident. No hydronephrosis is present.SPLEEN: 10.9 cm in length, without focal lesions evident.OTHER: Small right pleural effusion is partially imaged.
1. Heterogeneous hepatic echogenicity, compatible with parenchymal dysfunction.2. Cholelithiasis without specific evidence of cholecystitis.3. Small right pleural effusion.