Septic shock. LIVER: Non-cirrhotic liver morphology. Increased hepatic echogenicity, compatible with parenchymal dysfunction. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Biliary sludge and subcentimeter gallstones noted, without evidence of cholecystitis.PANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 11.9 cm in length. The left kidney is 11.2 cm in length. The renal parenchyma is echogenic bilaterally. No suspicious renal lesions are evident. No hydronephrosis is seen.BLADDER: Not well visualized, likely secondary to underdistention from Foley catheter drainage.SPLEEN: Not well visualized, secondary to inability to reposition the patient.ABDOMINAL AORTA: Patent, without significant abnormality noted. Normal arterial waveforms. No aortic aneurysm identified.INFERIOR VENA CAVA: Patent, without significant abnormality noted. IVC filter noted.OTHER: Small right pleural effusion. Small amount of ascites identified.
1. Biliary sludge and subcentimeter gallstones, without cholecystitis.2. Echogenic liver, compatible with parenchymal dysfunction.3. Echogenic renal parenchyma, compatible with medical renal disease.4. Small amount of ascites and small right pleural effusion.