Female 94 years old; Reason: 94 yo F w/ new onset signs of heart failure, please eval for ascites and liver pathology History: abdominal distension LIVER: The liver measures 15.6 cm in length. There is coarse and increased echogenicity of the liver parenchyma. No focal hepatic lesions. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow. GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 2.8 mm. No stones are seen. No pericholecystic fluid. The common bile duct measures 5.8 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 8.5 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 10.4 cm in length. The cortex has mildly increased echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 11.0 cm in length. The cortex has mildly increased echogenicity. No hydronephrosis, stones, or worrisome masses are seen.OTHER: Of note, this exam is limited by body habitus and inability to optimally position the patient.
1. Mildly echogenic kidneys consistent with diffuse renal parenchymal dysfunction.2. No fluid or ascites noted.