Abdominal pain with elevated LFTs and lactic acidosis LIVER: Mildly heterogeneous echotexture without mass 19.8 cm in length. Limited Doppler interrogation of the main portal vein demonstrates a patent main portal vein with normal directional flow.GALLBLADDER, BILIARY TRACT: Gallbladder sludge without acute inflammation or ductal dilatationPANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Atrophic echogenic kidney without hydronephrosis. 8.9 cm in length OTHER: Spleen 13.3 cm in length no ascites.
Mild hepatomegaly with mildly heterogeneous echotexture suggestive for fatty infiltration/parenchymal dysfunction without mass or ductal dilatation. No ascites. Atrophic echogenic right kidney consistent with medical renal disease/parenchymal dysfunction without hydronephrosis.