Liver and renal failure of unknown known cause LIVER:Coarse echogenic liver echotexture with irregular contour suggestive for cirrhotic morphology without mass. Liver length 19.4 cmGALLBLADDER, BILIARY TRACT: Gallbladder absent. No ductal dilatation.PANCREAS: No significant abnormality noted.SPLEEN: Moderately severe splenomegaly. 20 cm in length.KIDNEYS: Echogenic renal parenchyma without mass, stone, or hydronephrosis. Right kidney 18.7 cm in length ABDOMINAL AORTA: No significant abnormality noted.INFERIOR VENA CAVA: No significant abnormality noted.OTHER: Trace ascites.
Enlarged cirrhotic liver without mass or ductal dilatation. Mid main portal vein stenosis/thrombosis with velocity gradient as described. Main portal vein flow remains pedal. Hepatic arteries and veins patent. Trace ascites. Moderately severe splenomegaly. Echogenic renal parenchyma suggestive for medical renal disease/parenchymal dysfunction without mass, stone, or obstruction.