62-year-old male with history of bacteremia. LIVER: Mild amount of perihepatic ascites. The liver is enlarged, measuring 20.5 cm and has the appearance of steatosis. No biliary dilatation or focal masses. Posteroinferior to the liver is an area of increased echogenicity that is either complex fluid or soft tissue, but is incompletely evaluated given the depth of location. This may be further evaluated with CT if clinically indicated.GALLBLADDER, BILIARY TRACT: The gallbladder is decompressed. No biliary dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Increased renal echogenicity, without hydronephrosis or hydroureter. The right kidney measures 11.2 cm.OTHER: Subtle increased echogenicity of the left kidney. The left kidney measures 10.9 cm. No left kidney hydronephrosis. Redemonstration of splenic hypoattenuating foci, nonspecific.
Mild ascites, and hepatic steatosis. Nonspecific splenic lesions are again seen. An area of increased echogenicity posterior to the liver may represent complex fluid versus bowel that is incompletely evaluated due to the depth of this area. Consider contrast enhanced CT if clinically indicated.