Male 69 years old Reason: eval for lesions, assess hepatic vessel patency History: cirrhosis LIVER: Liver measures 17.4 cm. Liver has coarsened increased echogenicity, which may be seen in fatty infiltration or diffuse hepatic disease. No focal mass.BILIARY TRACT: No intrahepatic biliary ductal dilatation. There are likely foci of pneumobilia. Gallbladder is not present.PANCREAS: Head of the pancreas is normal in appearance without pancreatic ductal dilatation. Body and tail of the pancreas are obscured by overlying bowel gas.SPLEEN: Spleen measures 12.2 cm. Calcified granulomas present within the spleen measuring 2.1 x 1.7 x 2.6 cm.KIDNEYS: Kidneys have increased echogenicity consistent with medical renal disease. No renal mass, shadowing calculus, or hydronephrosis. Right kidney measures 9.6 cm. Left kidney measures 9.7 cm. OTHER: No ascites
1.Unchanged coarsened echotexture of the liver without mass or ductal dilatation.2.Patent hepatic vasculature with normal flow.3.Echogenic kidneys consistent with medical renal disease/parenchymal dysfunction without hydronephrosis.