29-year-old male with abdominal distention. Evaluate for liver pathology. LIVER: The liver is normal in morphology, and echogenicity. It is borderline enlarged, measuring 20 cm in the craniocaudal dimension. No intrahepatic biliary dilatation or focal hepatic lesion is evident. There is normal hepatopetal portal venous blood flow at 20 cm/sec.BILIARY TRACT: The common bile duct is normal in caliber, measuring 3 mm. The gallbladder is nearly completely contracted, resulting in apparent wall thickness of 3 mm. No gallstones or focal tenderness is evident. PANCREAS: The visualized pancreatic body and head are normal.SPLEEN: The spleen is mildly enlarged, measuring 11.6 cm.RIGHT KIDNEY: The right kidney is shrunken, measuring 7 cm in length and is markedly echogenic. No hydronephrosis. Note is made of a 1.4 cm simple appearing cyst. Color Doppler demonstrates hilar blood flow.OTHER: The left kidney has been removed.There is a moderate amount of ascites.
1. The liver is borderline enlarged, otherwise there are no specific findings of liver disease. 2. Moderate volume ascites.3. Atrophic right kidney.