72-year-old male with left lower quadrant pain and CKD, question of ascites. LIVER: Normal echogenicity of the liver measuring 15.9 cm in length. No focal hepatic lesions. Main portal vein is patent with appropriate directional flow; peak velocity measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Normal echogenicity of the gallbladder. No gallbladder wall thickening. No pericholecystic fluid. Common duct measures 5 mm in caliber. No intra-or extra hepatic biliary ductal dilatation.PANCREAS: Not visualized in its entirety due to overlying bowel gas. The visualized portions are unremarkable.SPLEEN: Normal echogenicity of the spleen measuring 7.9 cm in length.KIDNEYS: Increased echogenicity of the right kidney measuring 10.5 cm in length. No hydronephrosis or shadowing calculi are noted. Increased echogenicity of the left kidney measuring 11.3 cm in length. No hydronephrosis or shadowing calculi are noted. ABDOMINAL AORTA: Proximal aorta measures 2.9 cm x 2.6 cm.INFERIOR VENA CAVA: The visualized IVC is patent with appropriate directional flow.OTHER: No ascites.
Increased echogenicity of the kidneys suggestive of parenchymal dysfunction. No obstruction. 