Reason: assess for portal HTN and cirrhosis History: Lower GI bleed LIVER: The liver measures 11.1 cm in length and smooth in contour. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. Multiple cysts appearing similar to recent CT without suspicious hepatic lesions identified. The portal vein is patent demonstrating normal hepatopetal flow with velocity of 33 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 9.1 cm in length. RIGHT KIDNEY: Kidney measures 12.2 cm in length. Increased cortical echogenicity. No hydronephrosis. Multiple cysts, the largest of which measures 3.7 x 3.3 x 2.9 cm appearing similar to prior.LEFT KIDNEY: Kidney measures 11.9 cm in length. Increased cortical echogenicity. No hydronephrosis.OTHER: No significant abnormalities noted.
1.Increased hepatic echogenicity suggestive of parenchymal dysfunction/fatty infiltration. No ascites. Patent portal vein.2.Increased renal echogenicity suggestive of medical renal disease.