55-year-old female with abnormal liver function. Elevated bilirubin. LIVER: There is normal in size and appears mildly echogenic consistent with parenchymal disease. No focal hepatic abnormality. Limited color and spectral Doppler demonstrates patency and appropriate flow direction in the main portal vein.GALLBLADDER, BILIARY TRACT: Gallbladder contains a single shadowing gallstone in the region of the neck. Mobility could not be well assessed. No gallbladder wall thickening. Moderate ascites.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Significantly echogenic without hydronephrosis on limited view.OTHER: Left kidney significantly echogenic without hydronephrosis on limited view. Splenic size normal.Moderate ascites.Bilateral pleural effusions.
No focal hepatic abnormality. Gallstone but no other gross biliary tract abnormality.Ascites.Echogenic kidneys.