87-year-old male patient with excessive fatigue and anemia, concern for MDS. Also with evidence of CKD. Evaluate the spleen and kidneys. LIVER: The liver measures 18.9 cm in length and demonstrates increased parenchymal echogenicity. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 5 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 10.3 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 9.9 cm in length. No evidence of hydronephrosis.The spleen measures 7.7 cm in length.
1. Mild hepatomegaly with increased parenchymal echogenicity, likely secondary to hepatic steatosis.2. Spleen size within normal limits.