History of CHF, undergoing heart transplant workup. LIVER: The liver is top normal in size measuring 18.1 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.25 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3 mm in diameter.PANCREAS: No significant abnormalities noted. The distal pancreas is obscured by bowel gas.SPLEEN: No significant abnormalities noted.The spleen measures 7.0 cm in length. RIGHT KIDNEY: Kidney measures 7.0 cm in length. Normal echogenicity. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 9.7 cm in length. Normal echogenicity. No hydronephrosis, shadowing calculus or mass.ABDOMINAL AORTA: The aorta is normal in caliber without aneurysmal dilatation and is patent on Doppler images.INFERIOR VENA CAVA: No significant abnormality noted.OTHER: The bladder is incompletely distended but appears grossly unremarkable. No ascites.
Atrophic right kidney. Exam otherwise unremarkable.