Stated history of CHF and leg edema. Mild LFT abnormality. LIVER: The liver is normal in morphology and size, measuring 18 cm in craniocaudal length. No focal lesion or intrahepatic biliary ductal dilatation. The hepatic veins are normal in caliber. Normal hepatopedal portal venous blood flow at 15 cm/s. Note is made of echogenic shadowing granulomata.BILIARY TRACT: No extra hepatic biliary ductal dilatation with the common duct measuring 3 mm. Normally distended gallbladder without gallstones, wall thickening, pericholecystic fluid or focal tenderness.PANCREAS: The visualized pancreatic body and head is unremarkable.SPLEEN: The spleen measures 10.8 cm in length with multiple granulomata.RIGHT KIDNEY: The right kidney measures 9.7 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion. Color Doppler demonstrates hilar blood flow. The cortex is echogenic.OTHER: The left kidney measures 10.5 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion. Color Doppler demonstrates hilar blood flow. The cortex is echogenic.
Echogenic renal cortices compatible with medical renal disease.Normal liver morphology without focal abnormality or biliary ductal dilatation.