54-year-old male with history of multiple myeloma/plasmacytoma with abnormal liver function. Sepsis. Exam is somewhat limited by inability to turn the patient.LIVER: Coarsely echogenic without focal abnormality. Gross hepatomegaly. Limited color and spectral Doppler demonstrates patency and appropriate flow direction in the main portal vein.BILIARY TRACT: Likely small polyp in the gallbladder. No gross, shadowing gallstones, wall thickening or pericholecystic fluid. The patient could not, however, be turned into Hgb disposition. The biliary tract is normal in caliber.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. OTHER: Bilateral pleural effusions.
Echogenic, enlarged liver.Normal biliary tract on limited exam with small gallbladder polyp.Bilateral pleural effusions.