52-year-old female. CHF presenting with right upper quadrant abdominal pain, back pain, positive UA from OSH. Evaluate for pyelonephritis, liver/gallbladder, biliary tree. LIVER: Diffusely increased echogenicity of the liver consistent with hepatic steatosis/dysfunction. The liver is 19.7 cm in length. No focal lesion is identified. Hepatoportal venous flow.GALLBLADDER, BILIARY TRACT: No biliary ductal dilatation. The common duct is 7 mm in caliber, at the upper limits of normal. Status post cholecystectomy.PANCREAS: Visualized portions of the pancreatic head are normal echogenicity. The remainder of the pancreas is obscured by bowel gas.SPLEEN: No significant abnormality noted.KIDNEYS: Right kidney is 12.2 cm. Left kidney is 13.9 cm. Normal echogenicity of both kidneys. No hydronephrosis. No evidence of an abscess.ABDOMINAL AORTA: Aorta is patent. 3.3 cm in caliber in the proximal aorta, 2.6 cm in the mid aorta, 1.8 cm in the distal aorta.INFERIOR VENA CAVA: Patent.OTHER: Bladder is underdistended.
Findings consistent with hepatic steatosis/dysfunction and hepatomegaly. No hydronephrosis or evidence of a renal abscess. Mildly ectatic proximal abdominal aorta.