Female 73 years old Reason: hepatocellular injury, assess for vascular abnormalities and liver architecture, patient with AKI, please assess kidneys History: as above ABDOMENLIVER: Liver is normal in morphology and measures 15.8 cm in length. The hepatic parenchyma is homogenously increased echotexture. No focal mass lesion is evident.BILIARY TRACT: No intrahepatic or extrahepatic biliary ductal dilatation. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted.SPLEEN: The spleen is normal in size measuring 11.8 cm in length. RIGHT KIDNEY: The right kidney is normal in size measuring 11.5 cm in length. The renal parenchyma is mildly echogenic but normal in thickness. No hydronephrosis or shadowing stones.LEFT KIDNEY: The left kidney is normal in size measuring 9.2 cm in length. Evaluation of the parenchyma is mildly limited due to technical factors, however the renal parenchyma appears mildly echogenic. No hydronephrosis.OTHER: No significant abnormalities noted.
1.Mildly echogenic hepatic parenchyma which can be seen in hepatic steatosis.2.Mildly echogenic renal parenchyma bilaterally compatible with medical renal disease. No hydronephrosis or stones are evident.3.Normal Doppler examination of the abdomen.