Worsening liver function tests. LIVER: The left hepatic lobe is poorly visualized due to overlying bowel gas. Non-cirrhotic liver morphology. Mildly increased parenchymal echogenicity. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Normal appearance of the gallbladderPANCREAS: The pancreas is obscured by bowel gas.KIDNEYS: The right kidney is 11.6 cm in length with new mild calyectasis. The left kidney is 12.6 cm in length with mild to moderate hydronephrosis. No suspicious renal lesions are evident. SPLEEN: 10.6 cm in length, without focal lesions evident.OTHER: Bilateral pleural effusions. No ascites identified.
1. Increased hepatic echogenicity, compatible with parenchymal dysfunction.2. Mild right calyectasis and mild to moderate left hydronephrosis. 3. Bilateral pleural effusions.