VP shunt. Altered mental status. Elevated liver enzymes. Limited examination due to difficulty repositioning the patient.LIVER: Non-cirrhotic liver morphology. Mildly increased 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 10.1 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 seen.SPLEEN: Not visualized.OTHER: No significant abnormalities noted. No ascites identified.
1. Increased liver echogenicity, compatible with hepatic dysfunction.2. Increased renal parenchymal echogenicity, compatible with medical renal disease.