Reason: 69 y/o M with presumed congestive hepatopathy, evaluate for liver cirrhosis History: Shortness of breath LIVER: The liver measures 20.3 cm in length, enlarged. Coarse parenchymal echotexture, however there is no other specific evidence of cirrhosis. The contour of the liver is smooth. The portal vein is patent with normal hepatopetal directional flow, peak velocity 31 cm/s with pulsatile waveform. No focal mass.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted. Status post cholecystectomy. The common bile duct measures 0.5 cm. No biliary ductal dilatation.PANCREAS: Obscured by bowel gas.RIGHT KIDNEY: The right kidney measures 10.6 cm in length. There is a minimally complex right mid pole cyst measuring 3.2 x 2.5 x 2.7 cm with partial septation. No shadowing stones or hydronephrosis.LEFT KIDNEY: The left kidney measures 11.3 cm in length. No shadowing stones or hydronephrosis.OTHER: Moderate volume ascites.
1. Hepatomegaly, coarse parenchymal echotexture, and pulsatile portal venous waveform are consistent with congestive hepatopathy. No other specific evidence of cirrhosis.2. Moderate volume ascites.3. Minimally complex right midpole renal cyst.