Elevated LFTs. LIVER: Non-cirrhotic liver morphology. Normal parenchymal echogenicity. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Mild gallbladder wall thickening, which is nonspecific in the setting of ascites. Biliary sludge noted. No cholelithiasis or sonographic Murphy's sign.PANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 10.6 cm in length. The left kidney is 11.0 cm in length. The renal parenchymal echogenicity is elevated bilaterally. No suspicious renal lesions are evident. No hydronephrosis is present.SPLEEN: 8.1 cm in length, without focal lesions evident.OTHER: Mild to moderate amount ascites.
1. No cholelithiasis or biliary ductal dilation, per clinical query2. Mild to moderate amount of ascites.3. Echogenic renal parenchyma without hydronephrosis, compatible with medical renal disease.