Transaminitis. LIVER: The liver parenchyma is mildly heterogeneous. No focal lesion is evident. The hepatic veins are dilated. Pulsatile hepatopedal portal venous blood flow.BILIARY TRACT: The common bile duct measures up to 10 mm. Normally distended gallbladder containing sludge. Significant gallbladder wall thickening up to 10 mm. Trace pericholecystic fluid. No focal tenderness.PANCREAS: The visualized portions of the pancreatic head and body are unremarkable. The remainder is obscured by overlying bowel gas.SPLEEN: The spleen measures 13 cm in length without a focal lesion.RIGHT KIDNEY: The right kidney measures 10 cm in length without hydronephrosis or shadowing nephrolithiasis. OTHER: The left kidney is partially imaged measuring approximately 8 cm. Mild ascites. Pleural effusions.
Findings suggestive of right sided heart failure with associated hepatic congestion.Gallbladder sludge. Significant gallbladder wall thickening is nonspecific in the setting of fluid overload. No focal tenderness to suggest acute cholecystitis.Mild ascites and pleural effusions.Extrahepatic biliary ductal dilatation without apparent etiology. Consider MRCP as clinically indicated. 