53 y.o. male with SIRS but no source of infection. LIVER: Course, echogenic liver. No masses or intrahepatic ductal dilation. Small amount of ascites.GALLBLADDER, BILIARY TRACT: Gall bladder wall is within normal limits. Common bile duct measures 4.0 mm. No stones or sludge. Trace pericystic fluid is seen.PANCREAS: No significant abnormality noted.SPLEEN: Measures 14.3cm but not well visualized on this study. No abnormalities in the visualized portions of the spleen.KIDNEYS: Right kidney measures 12.2 cm. Normal echogenicity. No stones or hydronephrosis. Left kidney measures 12.7 cm. Normal echogenicity. No stones or hydronephrosis. ABDOMINAL AORTA: Measures between 2.0 and 2.4 cm in diameter. No abnormalities.INFERIOR VENA CAVA: No significant abnormality noted.OTHER: No significant abnormality noted.
1. Coarse, echogenic liver consistent with diffuse parenchymal dysfunction / fatty infiltration.2. Trace pericholecystic fluid and edema.3. No sonographic signs of infection.