52 year-old female with heart failure and ascites. LIVER: Liver echotexture coarsely echogenic and mildly heterogeneous fashion. Within the left lobe of the liver there is a mildly hyperechoic ovoid region measuring 1.3 x 2 . 5 x 2 cm which may have a central linear decrease echogenicity extending to the periphery. This would best be evaluated by dedicated liver CT. Overall hepatic size within normal limits. Venous distention consistent with congestive heart failure.GALLBLADDER, BILIARY TRACT: Dependent sludge within the gallbladder without shadowing gallstones. Gallbladder wall within normal limits.PANCREAS: Exclude a small cystic area in the pancreatic head although the associated pancreatic duct does not appear dilated. Again this could be evaluated by CT or preferably MRCP.RIGHT KIDNEY: No significant abnormalities noted.OTHER: Marked ascites.
Ascites. Coarsened hepatic echotexture.Apparent hyperechoic mass within the liver although this could also represent focal fatty infiltration. Dedicated CT or MR of the liver recommended.Cystic area within the pancreas. M.R.C.P. recommended.