Evaluate for hydronephrosis. Acute kidney injury. History of renal infarct. Evaluate for pancreatitis, gallstones and cirrhosis. LIVER: The liver measures 16.3 cm in length. Its mildly echogenic and nodular in contour compatible with cirrhosis. No focal liver lesions are evident. Mild intrahepatic biliary ductal prominence; correlate with bilirubin. The portal vein is patent with flow toward the liver on color Doppler imaging. Small probable portal lymph node noted measuring 2 cm in length.GALLBLADDER, BILIARY TRACT: Small non-shadowing gallstone or gallbladder polyp. No pericholecystic fluid. Common duct measures 4 mm which is within normal limits.PANCREAS: No significant abnormality noted. Body and tail obscured by overlying bowel gas.SPLEEN: No significant abnormality noted.KIDNEYS: No hydronephrosis of either kidney although both kidneys are mildly echogenic. The right kidney measures 11.5 cm in length and the left kidney measures 10.4cm in length. Left kidney was difficult to visualize, probably secondary to the known infarct. This complex area measured approximately 2.7 x 2.2 x 2.3 cm.ABDOMINAL AORTA: No significant abnormality. The proximal aorta measured 2.3 x 2.9 x 3.4 cm. The mid aorta measured 2.1 cm. The distal aorta was obscured by overlying bowel gas.INFERIOR VENA CAVA: No significant abnormality noted.OTHER: No significant abnormality noted. Spleen measures 10.5 cm in length.
1. Cirrhotic appearing liver with questionable intrahepatic biliary ductal dilatation but no evidence of extrahepatic biliary ductal dilatation; correlate with bilirubin.2. Presumed evolving left renal infarct. No hydronephrosis.3. Nonshadowing gallstone versus polyp. No evidence of cholecystitis.