Reason: Rule out embolic event to liver or kidney History: elevated LDH and creatinine in LVAD patient Limited exam due to overlying bowel gas.LIVER: Heterogeneous echogenic hepatic parenchyma. The liver measures 20.9 cm, enlarged. The portal vein is patent with normal hepatopetal directional flow, peak velocity 24.6 cm/s. No focal mass. GALLBLADDER, BILIARY TRACT: No significant abnormality noted. No cholelithiasis or pericholecystic fluid. The common bile duct measures 0.4 cm. The gallbladder wall measures 0.3 cm. No biliary ductal dilatation.PANCREAS: Obscured by bowel gas.SPLEEN: The spleen measures 12.5 cm in length.KIDNEYS: The left kidney measures 11.0 cm in length. The right kidney measures 10.1 cm in length. No shadowing stones or hydronephrosis. Color Doppler examination was not performed.ABDOMINAL AORTA: Not well visualized.INFERIOR VENA CAVA: The IVC appears patent with normal pulsatile venous waveform.OTHER: No ascites.
Hepatomegaly and heterogeneous hepatic parenchyma, which is nonspecific but may represent hepatic steatosis or parenchymal dysfunction. 