Evaluate for pathology, renal disease, advanced heart failure workup LIVER:Liver measures 16.9 cm with mildly increased echotexture. No intrahepatic biliary ductal dilatation. No focal lesion noted. Portal vein demonstrates normal flow directionality and patency.GALLBLADDER, BILIARY TRACT: Mildly distended gallbladder with shadowing gallstones within it consistent with cholelithiasis. Gallbladder wall thickness is within normal limits. Trace ascites noted.PANCREAS: Not well visualized due to overlying bowel gasSPLEEN: Spleen measures 7.6 cm appears unremarkable.KIDNEYS: Right kidney is not visualized. Please correlate with history of nephrectomy or agenesis?Left kidney measures 11.5 cm with normal echo texture. Prominence of the left renal pelvis resolved on postvoid sonography.ABDOMINAL AORTA: Abdominal aorta appears unremarkable. No evidence of aneurysmal dilatation or atherosclerotic changes. Proximal aorta measures 2.5 x 2.4 cm, mid aorta measures 1.8 x 1.5 cm and distal aorta measures 1.5 x 1.5 cm.INFERIOR VENA CAVA: PatentOTHER: No significant abnormality noted.
No findings suggestive of acute cholecystitis.Trace ascites in the abdomenRight kidney could not be visualized in the abdomen, correlate with history of nephrectomy or concerned for agenesis.