Elevated bilirubin with jaundice LIVER: Coarse echogenic liver parenchyma without mass. Liver length 20.7 cm. Limited Doppler interrogation the main portal vein demonstrates a patent portal vein with normal directional flow.BILIARY TRACT: Gallbladder sludge without acute inflammation or ductal dilatationPANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. 8.7 cm in lengthRIGHT KIDNEY: Echogenic parenchyma without mass, stone, or hydronephrosis. 11.7 cm in length OTHER: Echogenic left renal parenchyma without mass, stone, or hydronephrosis. 11.9 cm in length. Trace ascites.
Coarse echogenic liver parenchyma consistent with fatty infiltration/parenchymal dysfunction without mass. Gallbladder sludge without acute inflammation or duct dilatation. Trace ascites.Echogenic renal parenchyma consistent with medical renal disease/parietal dysfunction without mass, stone, or hydronephrosis.