Female 76 years old; Reason: eval for cirrhosis and splenomegaly History: low albumin, elevated INR LIVER: The liver measures 12.8 cm in length. There is increased echogenicity of the liver parenchyma. No focal hepatic lesions. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow. GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 2.5 mm. No stones are seen. Pericholecystic fluid is seen. The common bile duct measures 2.6 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 6.2 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 9.7 cm in length. The cortex has increased echogenicity. No hydronephrosis, stones, or worrisome masses are seen. A right renal cyst is seen and is unchanged when compared to the prior study.LEFT KIDNEY: The left kidney measures 9.0 cm in length. The cortex has increased echogenicity. No hydronephrosis, stones, or worrisome masses are seen.OTHER: Small bilateral pleural effusions.
1. Liver echotexture could be compatible with cirrhosis in the correct clinical context.2. Ascites3. Bilateral pleural effusions.4. Echogenic small kidneys without obstruction.