59-year-old male with history of severe hepatic steatosis. LIVER: The liver measures 19.5 cm in length. The parenchyma is severely coarse and echogenic which limits evaluation of discrete liver lesions. The portal vein is patent demonstrating brisk hepatopetal flow with a velocity of 0.5 m/s.BILIARY TRACT: The gallbladder is absent. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 11.0 cm in length. RIGHT KIDNEY: Kidney measures 12.8 cm in length. Increased parenchymal echogenicity is suggestive of medical renal disease/parenchymal dysfunction. Previously visualized right renal calculus is not visualized on this exam. LEFT KIDNEY: Kidney measures 12.4 cm in length. Increased parenchymal echogenicity is suggestive of medical renal disease/parenchymal dysfunction. No hydronephrosis, shadowing calculus or mass.OTHER: Bilateral pleural effusions.
1.Enlarged, echogenic liver suggestive of severe hepatic steatosis, similar to prior. 2.Echogenic kidneys suggestive of medical renal disease/parenchymal dysfunction. 3.Bilateral pleural effusions. 