68-year-old male heart failure and cardiogenic shock. Elevated total bilirubin. Examination is limited by inability to reposition the patient due to medical condition and early truncation by the clinical service.LIVER: Non-cirrhotic liver morphology. Increased parenchymal echogenicity. No focal hepatic lesions. Normal portal venous blood direction with pulsatile flow, likely reflecting the patient's heart failure.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Distended gallbladder with biliary sludge. No specific evidence of cholecystitis.PANCREAS: The pancreas is obscured by bowel gas.KIDNEYS: The right kidney is 9.1 cm in length. No suspicious renal lesions are evident. No hydronephrosis is seen. The left kidney was not examined due to inability to position the patient.SPLEEN: The spleen was not examined due to inability to position the patient.OTHER: Small right pleural effusion identified. No ascites identified.
1. Truncated examination due to inability to reposition the patient due to medical condition and by request of the clinical service. 2. Increased hepatic echogenicity, compatible with parenchymal dysfunction.3. Small right pleural effusion.