Elevated liver enzymes and acute kidney injury. LIVER:Mild hepatomegaly with the liver measuring 19.2 cm in length. The parenchymal echotexture is echogenic and coarsened compatible with steatosis. No intrahepatic or extrahepatic biliary ductal dilatation. The main portal vein is patent with hepatopedal flow velocity of 30 cm/s.GALLBLADDER, BILIARY TRACT: No cholelithiasis. The gallbladder is unremarkable. The common bile duct measures 5 mm in diameter.PANCREAS: No significant abnormality noted.SPLEEN: The spleen is mildly enlarged measuring 13.5 cm in length.KIDNEYS: Right kidney is normal in size and echotexture measuring 11.7 cm. No hydronephrosis. Left kidney is normal in size measuring 11.1 cm in length. No hydronephrosis.ABDOMINAL AORTA: The proximal abdominal aorta is normal in size. The maximum diameter of 2.0 cm. Linear echogenic focus within the aorta compatible with an ECMO catheter. The mid and distal aorta are obscured by bowel gas.INFERIOR VENA CAVA: The inferior vena cava is patent with normal multiphasic flow. Linear echogenic focus within the inferior vena cava compatible with an ECMO catheter.OTHER: Left pleural effusion. No ascites.
1.Echogenic hepatic parenchyma compatible with hepatic steatosis. No biliary ductal dilatation. Normal-appearing gallbladder.2.Left pleural effusion. No ascites.3.ECMO catheters in the normally sized abdominal aorta and inferior vena cava.