Cirrhosis. Tongue cancer. LIVER: Mildly increased parenchymal echogenicity, suggestive of dysfunction. No focal hepatic lesions. The liver is large, measuring 23 cm in length.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. The gallbladder is contracted, without specific evidence of cholecystitis.PANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 11.4 cm in length. The left kidney is 10.1 cm in length. The renal parenchyma is echogenic bilaterally. No suspicious renal lesions are evident. No hydronephrosis is seen.SPLEEN: 11.4 cm in length, without focal lesions evident.OTHER: Small bilateral pleural effusions. No significant ascites identified.DOPPLER
1. Hepatomegaly, without suspicious lesions. Patent hepatic vasculature.2. Echogenic renal parenchyma, compatible with medical renal disease.3. Small bilateral pleural effusions.