Elevated bilirubin, alk phos, and ascites. LIVER: Nodular liver contour suggestive of chronic liver disease, with increased parenchymal echogenicity. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Status post cholecystectomy.PANCREAS: 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 11.4 cm in length. The left kidney is 11.8 cm in length. The parenchymal echogenicity is increased. No suspicious renal lesions are evident. No hydronephrosis is seen.SPLEEN: 9.0 cm in length, without focal lesions evident.OTHER: Small amount of ascites noted. Small right pleural effusion identified.
1. Nodular liver morphology suggestive of chronic liver disease. Small amount of ascites. 2. Mildly increased renal parenchymal echogenicity, suggestive of medical renal disease. 3. Small right pleural effusion. Please see the separate report for the recent CT Chest for further evaluation of the thorax.