58-year-old male being evaluated for heart transplant. The study was limited by the patient's body habitus and inability to hold his breath.LIVER: The liver is normal in morphology, echogenicity and size, measuring 15.2 cm in craniocaudal dimension. No focal hepatic lesion or intrahepatic biliary ductal dilatation. Normal hepatopetal portal venous blood flow at 20 cm/sec.GALLBLADDER, BILIARY TRACT: Normally distended gallbladder without gallstones, wall thickening, pericholecystic fluid, or focal tenderness. No extrahepatic biliary ductal dilatation with the common duct measuring 3 mm.PANCREAS: Overlying bowel gas obscures the pancreas.SPLEEN: The spleen is normal in size, measuring 11.3 cm.KIDNEYS: The right kidney is normal in size measuring 11.6 cm in length without hydronephrosis, shadowing calculus, or discrete lesion evident. The left kidney measures 10.9 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident.ABDOMINAL AORTA: The proximal aorta is normal in caliber, measuring 2 cm in AP dimension. The remaining aorta is obscured by overlying bowel gas shadowing.INFERIOR VENA CAVA: The inferior vena cava is patent.OTHER: Left pleural effusion.
Left pleural effusion. Otherwise, limited examination without significant abnormality evident.