Patient being evaluated for LVAD. Right upper quadrant ultrasound to evaluate for cirrhosis. Biliary disease and ascites. LIVER:The liver is mildly echogenic without dominant lesion. No intrahepatic biliary ductal dilatation. Measures 18.2 cm in length. Portal vein is patent with flow toward the liver on color Doppler imagingGALLBLADDER, BILIARY TRACT: Small amount of sludge and tiny gallstone noted within the gallbladder.PANCREAS: Obscured by overlying bowel gas.SPLEEN: No focal lesions. The spleen measures 12.6 cm in length.KIDNEYS: No hydronephrosis of either kidney. The right kidney measures 12.2 cm in length and the left kidney measures 9.3 cm in length probable cyst at the upper pole on the right.ABDOMINAL AORTA: No significant abnormality noted.INFERIOR VENA CAVA: No significant abnormality noted.OTHER: No ascites. Trace left pleural effusion. Thick-walled bladder.
No ascites. Mildly echogenic liver without focal lesion. Mild splenomegaly suggesting portal hypertension. Mildly echogenic kidneys compatible medical renal disease. Gallstones and sludge.