Acute kidney injury. Decreased urine output. LIVER: Cirrhotic liver morphology. Coarse parenchymal echogenicity. No focal hepatic lesions. Reversed portal venous blood flow direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Distended gallbladder with biliary sludge and some centimeter gallstones. No gallbladder wall thickening or sonographic Murphy's sign.PANCREAS: Obscured by bowel gas.KIDNEYS: The right kidney is 12.3 cm in length. The left kidney is 12.8 cm in length. The renal parenchyma is echogenic bilaterally. No suspicious renal lesions are evident. No hydronephrosis is present.SPLEEN: 12.4 cm in length, without focal lesions evident.ABDOMINAL AORTA: Patent without aneurysm.INFERIOR VENA CAVA: Patent.OTHER: Moderate amount of ascites present.
1. Cirrhosis with reversed portal venous flow and moderate ascites.2. Echogenic renal parenchyma without hydronephrosis, compatible with medical renal disease.3. Cholelithiasis without specific evidence of cholecystitis.