Cirrhosis. Gram-negative bacteremia. Acute kidney injury. Evaluate for renal obstruction or perinephric abscess. LIVER: Cirrhotic liver morphology with coarsened parenchymal echogenicity. The hepatic lesion seen on the prior MRI are not evident, likely due to heterogeneous background parenchymal echogenicity. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Cholelithiasis. Gallbladder distention, without wall thickening or sonographic Murphy's sign elicited.PANCREAS: Obscured by bowel gas.KIDNEYS: The right kidney is 10.0 cm in length. The left kidney is 10.4 cm in length. No suspicious renal lesions are evident. No hydronephrosis is present. No perinephric fluid collection.SPLEEN: 12.1 cm in length, without focal lesions evident.ABDOMINAL AORTA: Patent, without aneurysm.INFERIOR VENA CAVA: Patent.OTHER: Small amount of perihepatic ascites identified. No loculated fluid collection to suggest abscess identified.
1. Cirrhosis with mild ascites.2. Cholelithiasis without evidence of cholecystitis.3. No hydronephrosis.