Coagulation defect with rising total bilirubin LIVER: No significant abnormalities noted. 15.9 cm in length. Limited Doppler interrogation of the main portal vein demonstrates a patent main portal vein with normal directional flow.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Echogenic parenchyma without mass, stone, or hydronephrosis. 7.3 cm in length.OTHER: Left kidney 11.3 cm in length. Echogenic left renal parenchyma without mass, stone, or hydronephrosis. Spleen 11.3 cm in length. Bilateral pleural effusions. Trace ascites.
No hepatobiliary abnormality noted. Trace ascites. Echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction without hydronephrosis.