Reason: pre-op bariatric surgery LIVER:The liver measures 16 cm in length. Coarse, echogenic hepatic parenchyma. The portal vein is patent with normal hepatopedal directional flow, peak velocity 31 cm/s. No focal mass.GALLBLADDER, BILIARY TRACT: No significant abnormality noted. No shadowing stones are sludge. The gallbladder wall measures 0.4 cm. The common bile duct measures 0.3 cm. No biliary ductal dilatation.PANCREAS: Obscured by bowel gas.SPLEEN: The spleen measures 8.2 cm in length.KIDNEYS: The right kidney measures 10.9 cm in length. The left kidney measures 10.5 cm in length. Unremarkable renal parenchymal echogenicity and echotexture. No shadowing stones or hydronephrosis. ABDOMINAL AORTA: The proximal aorta measures 2.3 x 2.1 cm, mid aorta 1.9 x 1.7 cm, distal aorta 2.1 x 1.6 cm. The iliac arteries are not visualized.INFERIOR VENA CAVA: No significant abnormality noted.OTHER: No ascites.
Coarse, echogenic hepatic parenchyma, consistent with hepatic steatosis or parenchymal dysfunction.