Ascites. Evaluate for cirrhosis. LIVER: Mildly echogenic and coarse liver parenchyma. The liver contour is micronodular suspicious for chronic liver disease. Increasing perihepatic ascites. The liver is slightly shrunken measuring 14 cm in craniocaudal dimension. No focal lesion or biliary ductal dilatation. Maintained hepatopedal portal venous blood flow at 0.3 cm/s.BILIARY TRACT: No extrahepatic biliary ductal dilatation.Normally distended gallbladder with sludge, small gallstones and mild wall thickening which is nonspecific in the setting of ascites.PANCREAS: The pancreas is obscured by overlying bowel gas.SPLEEN: The spleen measures 13 cm in length without focal lesion.RIGHT KIDNEY: The right kidney measures 11.3 cm without hydronephrosis.OTHER: The left kidney measures 10.8 cm without hydronephrosis. Small pleural effusions.
1. Coarse echogenic and micronodular liver contour suspicious for chronic liver disease/cirrhosis.2. Increasing perihepatic ascites. Small pleural effusions.3. Cholelithiasis. 