63 year-old male with questionable history of sarcoidosis. Evaluate liver, hepatic vein and artery. LIMITED ABDOMENLIVER: Coarse and echogenic in appearance measuring 18.3-cm in length. No focal hepatic lesions.BILIARY TRACT: Sludge and stones within the gallbladder. No gallbladder wall thickening. No pericholecystic fluid. Sonographic Murphy's sign is negative. Common duct measures 4 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Tail of the pancreas is obscured by overlying bowel gas. The remaining visualized portions are unremarkable.SPLEEN: Normal in echogenicity measuring 14.9 cm in length. RIGHT KIDNEY: Measures 11.4 cm in length and is normal in echogenicity. No hydronephrosis or shadowing calculi are noted.OTHER: Left kidney measures 12.1 cm in length and is normal in echogenicity. No hydronephrosis or shadowing calculi are noted.Moderate ascites.
1. Hepatomegaly with coarse and increased echotexture suggestive of parenchymal dysfunction/fatty infiltration. No focal hepatic lesions. Patent hepatic inflow and outflow vasculature.2. Sludge and cholelithiasis with no evidence of cholecystitis.3. Moderate ascites.