Right upper quadrant pain LIVER: Mildly coarse liver echotexture without mass. Liver length 19.6 cm. Limited Doppler interrogation of the main portal vein demonstrates a patent main portal vein with normal directional flow.BILIARY TRACT: Cholelithiasis without acute inflammation or ductal dilatationPANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted.RIGHT KIDNEY: Echogenic parenchyma without mass, stone, or hydronephrosis. 10 cm in length OTHER: Echogenic left renal parenchyma without mass, stone, or hydronephrosis. 9 cm in length. Bilateral pleural effusions. Trace ascites
Coarse echogenic liver parenchyma with hepatomegaly consistent with fatty infiltration/parenchymal dysfunction without mass or ductal dilatation. Cholelithiasis without acute inflammation. Trace ascites.Echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction without mass, stone, or hydronephrosis.