Sepsis, elevated LFTs, and right upper quadrant pain. Acute renal failure LIVER:Mildly heterogeneous echotexture without mass. Liver length 18.2 cmGALLBLADDER, BILIARY TRACT: Gallbladder sludge and stones without obvious acute inflammation. No ductal dilatation.PANCREAS: No significant abnormality noted.SPLEEN: No significant abnormality noted. 12.8 cm in lengthKIDNEYS: Mild left hydronephrosis and hydroureter. The inferior most aspect of the left hydroureter cannot be determined due to overlying gas within the pelvis.Echogenic renal parenchyma bilaterally. Bilateral renal cysts. Right kidney 12.4 cm in length. Left kidney 12.3 cm in length. ABDOMINAL AORTA: Mild aneurysmal dilatation of distal abdominal aorta with maximal diameter of 2.2 cm. Mild bilateral common iliac aneurysmal dilatation of approximately 1.4 cm in diameter.INFERIOR VENA CAVA: No significant abnormality noted.OTHER: Trace ascites. Left pleural effusion Marked diffuse thickening of the bladder wall. Foley catheter within bladder.
Mild hepatomegaly associated with mildly heterogeneous echotexture suggestive for parenchymal dysfunction without hepatic mass or ductal dilatation. Gallbladder sludge and stones without acute inflammation. Trace ascites. Left pleural effusion.Marked diffuse thickening of the bladder wall suggestive for either chronic inflammation or outlet obstruction. Associated with mild left hydronephrosis and hydroureter. The distal most aspect of the left hydroureter cannot be determined due to overlying gas in the pelvis. Echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunctionMild aneurysmal dilatation of the abdominal aorta and common iliac arteries.