71 year old male with bleeding and elevated INR. Evaluate liver for cirrhosis or amyloid involvement. LIVER: The liver measures 17.6 cm in length. Mildly coarsened and echogenic parenchyma is compatible with fatty infiltration. No significant capsular nodularity to suggest cirrhosis. No focal lesions or biliary ductal dilatation. The main portal vein is patent and demonstrates hepatopedal flow with velocity of 0.4 m/s.GALLBLADDER, BILIARY TRACT: No shadowing gallstones or sonographic evidence of cholecystitis. No sonographic Murphy sign.PANCREAS: Not visualized due to overlying bowel gas.NATIVE KIDNEYS: Bilateral atrophic native kidneys are present.OTHER: Transplant kidney in right iliac fossa measures 13.4 cm with normal echotexture. No peritransplant fluid collection or evidence of hydronephrosis. Spleen measures 13.6 cm and exhibits normal echotexture. No ascites.
1.Unremarkable transplant kidney in right iliac fossa with bilateral atrophic native kidneys.2.Mild fatty liver infiltration. No sonographic evidence of cirrhosis or suspicious focal hepatic lesions.