Reason: Male 70 years old Reason: Pt w/ CHF p/w ADHF. Want to assess for significant ascites. LIVER: The liver measures 18.5 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating pulsatile hepatopetal flow with a velocity of 0.19 m/s. The hepatic veins appear mildly prominent and are patent.BILIARY TRACT: No cholelithiasis. Mild gallbladder wall thickening nonspecific in the setting of ascites. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 2 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 10.9 cm in length. RIGHT KIDNEY: Not well visualized.LEFT KIDNEY: Kidney measures 11.5 cm in length. Increased cortical echogenicity. No hydronephrosis.OTHER: Mild ascites.
1.Mild hepatomegaly. Mild ascites.2.Mild non-specific gallbladder wall thickening without cholelithiasis or biliary ductal dilatation.3.Increased left renal echogenicity suggestive of medical renal disease.4.Findings suggestive of elevated right heart pressures.