Reason: advanced heart failure with early satiety, assess liver/spleen, abdominal vasculature as transplant workup History: advanced HF, early satiety LIVER:The liver is normal in echogenicity and echotexture and measures 19 cm in length. No intrahepatic biliary duct dilatations. No focal mass. The portal vein demonstrates normal direction of flow and peak velocity of 27 cm/s.GALLBLADDER, BILIARY TRACT: 0.8 x 0.7 cm echogenic focus in the gallbladder with shadowing, suggestive of gallstone. Gallbladder wall is a thickness of 2 mm. No pericholecystic fluid. No evidence of extrahepatic biliary ductal dilatation. The common bile duct measures 3 mm in diameter.PANCREAS: Limited evaluation of the pancreas due to overlying bowel gas does not demonstrate any significant abnormality in the visualized portion of the pancreas.SPLEEN: Spleen is normal in echotexture and measures 9 cm in length.KIDNEYS: The right kidney demonstrates normal echogenicity and measures 10 cm in length. No hydronephrosis. Small anechoic focus in the right kidney measuring 0.5 x 0.3 x 0.5 cm is too small to characterize but likely represents a cyst.Left kidney measures 10.1 cm in length and demonstrates normal echogenicity. No hydronephrosis.ABDOMINAL AORTA: The abdominal aorta is normal in size and demonstrates a peak velocity of 97 cm/s. Iliac arteries are normal in diameter.INFERIOR VENA CAVA: No significant abnormality noted.OTHER: No significant abnormality noted.
Echogenic shadowing focus in the gallbladder suggestive of a gallstone with no evidence of acute cholecystitis. Otherwise normal sonographic examination of the abdomen.