68 year old female patient, baseline examination as part of heart transplant evaluation. LIVER:The liver measures 14.5 cm in length and demonstrates mildly increased echogenicity. No focal hepatic lesion is identified. The main portal vein is patent with hepatopetal flow measuring 0.2 m/s. GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. There is no intra or extrahepatic biliary ductal dilatation. The common duct measures 5 mm in diameter.PANCREAS: The head of the pancreas demonstrates normal echogenicity. The remaining pancreas is not visualized secondary to overlying bowel gas.SPLEEN: The spleen measures 9.3 cm in length.KIDNEYS: The right kidney measures 9.0 cm in length and the left kidney measures 10.1 cm in length. No evidence of hydronephrosis. A hypoechoic lesion within the right lower pole measures 2.9 x 2.7 x 2.6 cm. An additional hypoechoic lesion within the right lower pole measures 2.1 x 1.1 x 1.2 cm.ABDOMINAL AORTA: The abdominal aorta is normal in caliber. The proximal aorta measures 1.9 x 1.8 cm, the mid aorta measures 1.5 x 1.5 cm, and the distal aorta measures 1.6 x 1.3 cm. There is calcific atherosclerotic disease of the abdominal aorta.INFERIOR VENA CAVA: No significant abnormality noted.OTHER: No significant abnormality noted.
1. Mildly echogenic liver which can be seen with hepatic steatosis.2. Right renal cysts. 3. Calcific atherosclerotic disease of the abdominal aorta. 