Mitral valve regurgitation with right upper quadrant pain LIVER: Prominent hepatic veins consistent with cardiac disease. No hepatic mass. Limited Doppler interrogation of the main portal vein demonstrates a patent main portal vein with normal normal directional flow. Liver length 16.6 cm.BILIARY TRACT: Diffusely thickened gallbladder wall without stones or ductal dilatation. Due to the patient's somnolent state, a Murphy's sign could not be elicited.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. 9.6 cm in lengthRIGHT KIDNEY: Mildly echogenic kidneys without mass, stone, or hydronephrosis. 10.3 cm in length. OTHER: Mildly echogenic left kidney without worrisome mass, stone, or hydronephrosis. Left kidney 10.1 cm in length. Benign appearing left renal cyst. Mild ascites. Left pleural effusion.
Diffusely thickened gallbladder wall without stones or duct dilatation. Unfortunately, due to the patient's somnolent state, a Murphy's sign could not be elicited. While this diffuse gallbladder wall thickening is nonspecific in the context of cardiac disease and congestion, some element of inflammation involving the gallbladder cannot be excluded; a nuclear medicine scan would be helpful as clinically warranted.Mildly echogenic kidneys suggestive for medical renal disease/parenchymal dysfunction without mass or stone or hydronephrosis.Mild ascites, left pleural effusion.