66 year old female with coagulopathy, elevated LFTs. History of aortic dissection and surgery with acute renal and hepatic failure. Evaluate hepatic blood flow. Limited exam as patient has midline bandage, unable to visualize left liver and pancreas.LIMITED ABDOMENLIVER: Increased echogenicity of the liver measuring 19.7 cm in length. No focal hepatic lesion.BILIARY TRACT: Normal echogenicity of the gallbladder. No gallbladder wall thickening. No pericholecystic fluid. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Pancreas is not well assessed.SPLEEN: Normal echogenicity of the spleen measuring 10.2 cm in length. RIGHT KIDNEY: Normal echogenicity of the right kidney measuring 9.0 cm in length. No hydronephrosis or shadowing calculi.OTHER: Normal echogenicity of the left kidney measuring 10.4 cm in length. No hydronephrosis or shadowing calculi.
1. Patent hepatic vasculature.2. Increased echogenicity of the liver suggestive of parenchymal dysfunction/fatty infiltration. 3. Small amount of upper abdominal ascites.