Distended abdomen. Hepatitis C. LIVER: Mildly nodular liver morphology. Increased parenchymal echogenicity. 16.3 cm in length. 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 8.4 cm in length. The left kidney is 9.2 cm in length. The renal parenchyma is markedly echogenic bilaterally. No suspicious renal lesions are evident. No hydronephrosis is present.SPLEEN: 10.5 cm in length, without focal lesions evident.OTHER: Moderate amount of ascites identified. Bilateral pleural effusions are partially imaged.
1. Mildly nodular liver contour with increased echogenicity, compatible with chronic liver disease.2. Moderate amount of ascites. Bilateral pleural effusions.3. Echogenic kidneys without hydronephrosis, compatible with medical renal disease