37-year-old male with acute kidney failure. Evaluate for hydronephrosis. Abnormal liver function. LIVER:There is hepatomegaly with the liver measuring at least 20 cm in length. The hepatic parenchyma is echogenic which is nonspecific. No focal hepatic abnormality. Limited color and spectral Doppler demonstrates patency and appropriate flow direction in the main portal vein.GALLBLADDER, BILIARY TRACT: Gallbladder is normal without cholelithiasis, wall thickening or pericholecystic fluid. The biliary tract is normal in caliber.PANCREAS: The head is normal. The body and tail are less well seen due to bowel gas.SPLEEN: Splenomegaly with the spleen measuring at least 15 cm in length.KIDNEYS: Right kidney measures 15.7 cm in length and is likely mildly echogenic consistent with parenchymal disease. No hydronephrosis, shadowing calculus or mass. Left kidney measures approximately 15.2 cm in length and is likely mildly echogenic consistent with parenchymal disease. No hydronephrosis, shadowing calculus or mass.ABDOMINAL AORTA: No significant abnormality noted.INFERIOR VENA CAVA: No significant abnormality noted.OTHER: No ascites.
Hepatosplenomegaly with echogenic liver.No evidence for hydronephrosis. Kidneys may be mildly echogenic.