Altered mental status Findings are limited by poor acoustic penetrance and inability to reposition the patient.LIVER: Cirrhotic liver morphology. No focal hepatic lesions. Normal portal venous blood flow direction with pulsatile flow compatible with heart failure.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Status post cholecystectomy.PANCREAS: Obscured by bowel gas.KIDNEYS: The kidneys are not well visualized due to poor acoustic penetration.SPLEEN: Not well visualized due to overlying bandages and left ventricular assist device.OTHER: Large amount of ascites.
Limited examination. Cirrhosis with large volume ascites.