93 year old female with history of synthetic dysfunction of the liver. Evaluate for congestive hepatopathy, portal hypertension, and metastatic liver disease. LIVER: No masses or significant abnormalities noted.BILIARY TRACT: The gallbladder is contracted, and appears to be full of stones/sludge, with no wall thickening. No significant pericholecystic fluid. No biliary dilatation.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted.RIGHT KIDNEY: Increased kidney echogenicity, suggestive of medical renal disease. The right kidney measures 9.4 cm, and contains a 2 x 1.4 x 1.3 cm simple cyst.OTHER: The left kidney measures 9.7 cm, and has increased parenchymal echogenicity suggestive of medical renal disease.
1.No hepatic masses or other significant hepatic abnormality.2.Cholelithiasis as above.3.Increased kidney echogenicity, suggestive of medical renal disease.