59 year old female with history of viral hepatitis C, cirrhosis. LIVER: Cirrhotic morphology with coarse heterogeneous echogenic liver parenchyma, unchanged. No identifiable mass lesion. Liver length 18.5 cm. Main portal vein is patent, with flow at approximately 0.2 m/secGALLBLADDER, BILIARY TRACT: Stable cholelithiasis without findings of cholecystitis or biliary obstruction.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Increased echogenicity of renal parenchyma unchanged without mass, stone, or hydronephrosis. 8.8 cm in lengthOTHER: Increased echogenicity of left renal parenchyma, unchanged without obstruction. Left kidney 9 cm in length. Spleen 10.7 cm in length. Worsening moderate ascites.
1.Cirrhotic liver morphology, without mass or ductal dilatation. 2.Improved mild abdominal ascites. 3.Hyperechoic renal parenchyma, consistent with medical renal disease/parenchymal dysfunction without obstruction. 