Marked hepatomegaly. Hepatitis C. LIVER: Cirrhotic liver morphology. 18 cm in length. Coarsened parenchymal echogenicity. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Normal appearance of the gallbladderPANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 10.7 cm in length. The left kidney is 12.2 cm in length. The renal parenchyma is echogenic bilaterally. No suspicious renal lesions are evident. No hydronephrosis is present.SPLEEN: 12.2 cm in length, without focal lesions evident.OTHER: Bilateral pleural effusions are partially imaged. Mild amount of ascites.
1. Cirrhosis and mild hepatomegaly. Mild ascites.2. Echogenic renal parenchyma without hydronephrosis, compatible with medical renal disease.