79-year-old male with history of CHF, VT ablation with rising LFTs, AMS. Evaluate patency of portal and hepatic vasculature. LIMITED ABDOMENLIVER: Increased echogenicity the liver measuring 15.4 cm in length. No focal hepatic lesions.BILIARY TRACT: The gallbladder is not visualized. No intra-or extrahepatic noted ductal dilatation.PANCREAS: Visualized portions of the pancreas are unremarkable.SPLEEN: Normal echogenicity of the spleen measuring 11.0 cm in length. RIGHT KIDNEY: Mildly echogenic right kidney measuring 10.0 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Mildly echogenic left kidney measuring 9.3 cm in length. No hydronephrosis or shadowing calculi are noted.
1. Increased echogenicity of the liver suggestive of parenchymal dysfunction/fatty infiltration. No hepatic mass. Patent inflow and outflow hepatic vasculature.2. Mildly echogenic kidneys suggestive of parenchymal dysfunction.