65-year-old female with prior imaging with ascites. Evaluate liver parenchyma, signs of ascites or congestion. LIVER: Mildly enlarged and echogenic liver. The liver measures 17.3 cm in length. No focal hepatic mass is identified. Limited color and spectral Doppler demonstrates patency and appropriate flow direction in the main portal vein.BILIARY TRACT: Dependent gallstones are identified. Gallbladder wall is diffusely and mildly thickened, measuring up to 6 mm, and nonspecific in the setting of ascites. No evidence of intrahepatic or extrahepatic periductal dilatation. Common bile duct measures 5 mm in diameter.PANCREAS: No significant abnormalities noted.SPLEEN: Not visualized due to limitations with patient's position.RIGHT KIDNEY: Echogenic right kidney measuring 8.3 cm in length. Renal calcifications may be vascular in etiology. No evidence of hydronephrosis. OTHER: Moderate ascites.
1.Mildly enlarged and echogenic liver, suggestive of fatty infiltration. No focal hepatic mass is identified.2.Echogenic right kidney, suggestive of medical renal disease.3.Cholelithiasis without evidence of acute cholecystitis. Diffusely mildly thickened gallbladder wall is nonspecific in the setting of ascites.4.Moderate ascites.