Reason: RUQ u/s History: CHF patient. LVAD workup Limited examination due to patient's body habitus.LIVER:Liver measures 14.2 cm in length and demonstrates increased echogenicity and coarse echotexture. Evaluation of the left lobe of the liver is limited to the patient's body habitus.GALLBLADDER, BILIARY TRACT: Gallbladder is distended and there is dilatation of common bile duct, measuring 1.1 cm in diameter. Gallbladder sludge is noted. No pericholecystic fluid is present.PANCREAS: Evaluation of the pancreas is limited due to overlying bowel gas.SPLEEN: There is mild enlargement of the spleen, measuring 12.8 cm in length.KIDNEYS: Multiple small cysts are again noted in the right kidney. The right kidney measures 7.8 cm in length. No evidence of hydronephrosis. The left kidney measures 12.5 cm in length. Both kidneys demonstrate increased echogenicity.ABDOMINAL AORTA: Calcifications are noted within the aorta with no evidence of aneurysmal dilatation. The mid aorta measures approximately 1.4 x 1.4 x 1.5 cm. Focal calcifications are noted in the right common iliac artery wall.INFERIOR VENA CAVA: No significant abnormality noted.OTHER: Fluid is seen within the chest bilaterally.
1.Increased echogenicity and coarse echotexture of the liver, suggestive of fatty infiltration/hepatic parenchymal dysfunction.2.Dilatation of common bile duct, which may be secondary to chronic cholecystitis or distal obstructing process. MRCP is suggested if clinically indicated.3.Increased echogenicity of both kidneys, which is nonspecific but compatible with medical renal disease. No evidence of hydronephrosis.