Male 80 years old; Reason: evaluate liver parencyhma for cirrhossi History: low albumin, transaminits, persistent lactate, rv failure LIVER: The liver measures 15.1 cm in length. There is coarse increased echogenicity of the liver parenchyma. There is a very subtle nodular morphology along the liver capsule. No focal hepatic lesions. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow measured at 36.6 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 1.8 mm. No stones or sludge are seen. No pericholecystic fluid. The common bile duct measures 1.5 mm in diameter. PANCREAS: The pancreas is not well-visualized due to bowel gas.SPLEEN: The spleen was not visualized due to difficulty with patient positioning.RIGHT KIDNEY: The right kidney measures 10.2 cm in length. The cortex has increased echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 10.5 cm in length. The cortex has increased echogenicity. No hydronephrosis, stones, or worrisome masses are seen.
1. There is a very subtle nodular appearance to the liver with increased echogenicity which is concerning for possible early cirrhosis. No worrisome masses are seen.2. Bilaterally the kidneys have increased echogenicity which is compatible with medical renal disease.