60-year-old male with elevated bilirubin. LIVER: Liver is normal in size and is mildly echogenic consistent with parenchymal disease. No focal hepatic abnormality. Limited color and spectral Doppler demonstrates patency and appropriate flow direction in the main portal vein GALLBLADDER, BILIARY TRACT: Gallbladder is mildly distended, and contains extensive sludge, but no shadowing calculi are identified. The gallbladder wall is not thickened and no focal pericholecystic fluid is identified. Biliary tract is not dilated. PANCREAS: Very limited due to bowel gasRIGHT KIDNEY: No significant abnormalities noted.OTHER: Bilateral pleural effusions. Ascites.
Mildly distended gallbladder with sludge.Ascites.Pleural effusions.