Male; 66 years old. Reason: Pt with low platelets and elevated AST, ALT. Please evaluate for liver disease. May also be working up for heart transplant History: elevated transaminases, thrombocytopenia LIVER: The liver measures 15.1 cm in length. The liver surface is smooth, the parenchyma echogenic and heterogenous in echotexture. No focal lesion identified.The main portal vein is patent with hepatopetal flow and a peak velocity of 0.3 m/s.GALLBLADDER, BILIARY TRACT: The gallbladder is unremarkable. There is no cholelithiasis or gallbladder wall thickening. The common duct measures up to 5 mm in diameter. There is no intrahepatic biliary ductal dilatation.PANCREAS: The head and body of the pancreas are unremarkable. The tail is obscured by overlying bowel gas.SPLEEN: The spleen measures 13.6 cm in length.KIDNEYS: The right kidney measures 9.3 cm in length. The cortex is normal echogenicity. There is no hydronephrosis or shadowing renal stone. The left kidney measures 10.9 cm in length. The cortex is normal in echogenicity. 1.6 x 1.4 x 2.3 cm exophytic, simple appearing renal cyst is seen. There is no hydronephrosis or shadowing stone.ABDOMINAL AORTA: The proximal aorta measures 2.5 cm in diameter, the mid aorta measures 2.2 cm in diameter. The distal aorta is not visualized.INFERIOR VENA CAVA: The most superior portion of the inferior vena cava is imaged it is patent and unremarkable.OTHER: The bladder is not distended and incompletely evaluated. A left ureteral jet is visualized.
1.Heterogenous and echogenic liver parenchyma compatible with hepatic steatosis/parenchymal dysfunction.2.Simple appearing left renal cyst.