Reason: Hypotension, renal dysfunction, assess for cholecystitis/cholethiasis or hydronephrosis History: hypotension Exam limited due to bowel gas/patient positioning.LIVER:Increase in hepatic parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions. Hepatic length measures 16.4 cm. The main portal vein is patent with normal hepatopetal flow with a velocity of 35 cm/s. No intrahepatic biliary ductal dilatation.GALLBLADDER, BILIARY TRACT: The gallbladder is normal in echotexture with the wall measuring 2 mm in diameter. The common bile duct measures 3 mm in diameter. No choledocholithiasis. No intra or extrahepatic biliary ductal dilatation identified.PANCREAS: Limited evaluation of pancreas due to overlying bowel gas.SPLEEN: The spleen measures 12.2 cm and has a normal echotexture.KIDNEYS: The right kidney measures 12 cm in length and demonstrates normal echogenicity with no hydronephrosis or shadowing calculi. The left kidney measures 12.2 cm and demonstrates normal echogenicity with no hydronephrosis or shadowing calculi. ABDOMINAL AORTA: Abdominal aorta measures 1.5 cm approximately, 1.4 cm mid aorta, and the distal aorta is not well visualized.INFERIOR VENA CAVA: Inferior vena cava is and not well visualized.OTHER: Trace left pleural effusion is noted.
1.Mild increase in echogenicity and coarsened echotexture of the hepatic parenchyma, suggestive of fatty infiltration/hepatic parenchymal dysfunction with no focal mass or ductal dilatation.2.No evidence of cholelithiasis or acute cholecystitis.