63-year-old male for preheart transplant workup. Ischemic cardiomyopathy. LIVER:Liver is moderately to markedly echogenic. This is non--- specific and could be due to fatty infiltration or other parenchymal disease. No focal hepatic abnormality.GALLBLADDER, BILIARY TRACT: Gallbladder appears distended and contains dependent sludge. No definite shadowing gallstones and no wall thickening or pericholecystic fluid.PANCREAS: No significant abnormality noted.SPLEEN: No significant abnormality noted.KIDNEYS: The right kidney measures 14.4 cm in length. No hydronephrosis, shadowing calculus or mass. The left kidney measures 12.7 cm in length. No hydronephrosis, shadowing calculus or mass. ABDOMINAL AORTA: Aorta cannot be adequately assessed due to bowel gas.INFERIOR VENA CAVA: The hepatic portion of the inferior vena cava is patent. Remainder is in adequately visualized due to bowel gas.OTHER: No ascites. Urinary bladder poorly distended with Foley catheter in place.
#1. Echogenic liver.#2. Distended gallbladder with sludge.3. Inadequate visualization of the aorta.