Male, 63 years old. Reason: Evaluate kidneys and liver in setting of AKI and possible liver dysfunction (elevated bili, INR), concern for cirrhosis LIVER: The liver measures 14.5 cm, with mildly increased echogenicity, and no focal lesion. Visualized liver contour within normal limits. The main portal vein is patent, with normal hepatopetal flow.GALLBLADDER, BILIARY TRACT: No intrahepatic or extrahepatic biliary ductal dilatation. The common bile duct measures 0.3 cm. The gallbladder is contracted with normal wall thickness. No stones.PANCREAS: The visualized portions of the pancreas are normal.RIGHT KIDNEY: 10.1 cm in length, with normal echotexture. No hydronephrosis, perinephric fluid, or echogenic stones.LEFT KIDNEY: 10.1 cm in length, with normal echotexture. No hydronephrosis, perinephric fluid, or echogenic stones.SPLEEN: Suboptimally visualized due to patient positioning and habitus. 7.0 cm in length, without focal lesion.ABDOMINAL AORTA: Patent and normal in caliber throughout its course.INFERIOR VENA CAVA: Visualized portions patent, with normal flow.OTHER: No significant abnormality noted.
1. Mildly increased hepatic parenchymal echogenicity, may reflect underlying hepatic steatosis/parenchymal dysfunction.2. No hydronephrosis, perinephric fluid, or shadowing renal stone.