57-year-old male patient with ischemic cardiomyopathy, history of mitral valve replacement, and advanced heart failure with recent gram-positive rod bacteria. Evaluate for LVAD. LIVER:The liver measures 18.2 cm in length. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal measures 0.3 m/s.GALLBLADDER, BILIARY TRACT: There are gallstones but no gallbladder wall thickening or pericholecystic fluid. There is no intra or extra hepatic biliary ductal dilatation. The common duct measures 5 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.SPLEEN: The spleen measures 11.2 cm in length.KIDNEYS: The right kidney measures 11 cm and the left kidney measures 11.9 cm in length. No evidence of hydronephrosis. ABDOMINAL AORTA: The proximal aorta measures 4.2 x 3.1 cm and the mid portion of the abdominal aorta measures 3.2 x 3.9 cm, however, there appears to focal aneurysmal dilatation measuring up to 4.5 cm. The distal aorta is not visualized secondary to overlying anatomy.INFERIOR VENA CAVA: No significant abnormality noted.OTHER: No significant abnormality noted.
1. Cholelithiasis without sonographic evidence of acute cholecystitis.2. Aneurysmal dilatation of infrarenal abdominal aorta which is inadequately evaluated on this examination; CTA can be obtained for further evaluation. 