56-year-old male undergoing evaluation prior to LVAD. LIVER: The liver measures 21 cm. There is coarse and heterogeneous echotexture of the liver parenchyma. No focal mass or ascites appreciated.BILIARY TRACT: The common bile duct measures 0.5 cm. No stones or pericholecystic fluid.PANCREAS: Evaluation limited by bowel gas.SPLEEN: The spleen measures 13.4 cm. No significant abnormalities noted. RIGHT KIDNEY: No significant abnormalities noted.LEFT KIDNEY: No significant abnormalities noted.ABDOMINAL DOPPLER: Color and spectral Doppler were performed on inflow and outflow vessels. All vessels are patent and there is normal hepatopedal flow.OTHER: No significant abnormalities noted.
Hepatomegaly with coarse echotexture consistent with chronic liver disease/parenchymal dysfunction. No masses or ascites.