78-year-old female with cardiogenic shock. Evaluate liver. LIVER:Measures 19.8 cm. Mildly increased and coarse echogenicity. No focal mass, ascites, or intra or intrahepatic biliary dilation. The portal vein is patent with normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: The gallbladder is nondistended with an anechoic lumen. The wall measures 0.2 cm. No stones, sludge, or pericholecystic fluid. Common bile duct measures 4.4 mm.PANCREAS: Evaluation limited by overlying bowel gas.SPLEEN: Measures 12.5 cm. No sonographic abnormalities.KIDNEYS: Right kidney measures 14.5 cm. Left kidney measures 12.2 cm. The cortex is mildly echogenic and thin. No hydronephrosis, shadowing calculi, or focal mass. OTHER: No significant abnormality noted.
1. Mildly increased and coarse echogenicity of liver consistent with chronic liver disease and fatty infiltration/parenchymal dysfunction. No mass or ascites.2. Hepatomegaly.3. Echogenic kidneys consistent with medical renal disease/parenchymal dysfunction. No hydronephrosis.