51-year-old male undergoing preheart transplant evaluation. LIVER:Measures 14.6 cm. Increased, coarse echogenicity. No focal mass, ascites, or intrahepatic biliary dilation. The portal vein is patent with normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: Gallbladder is nondistended with an anechoic lumen. Wall measures 0.3 cm. No pericholecystic fluid, stones, or sludge. Common bile duct measures 0.3 cm.PANCREAS: Evaluation of the pancreas limited due to overlying bowel gas.SPLEEN: Measures 9.8 cm. Multiple echogenic foci within the parenchyma of the spleen likely representing prior granulomatous disease.KIDNEYS: Right kidney measures 11.9 cm. Left kidney measures 11.7 cm. Unremarkable echogenicity. No shadowing calculi, hydronephrosis, or focal mass.ABDOMINAL AORTA: Unable to visualize the aorta due to body habitus and overlying bowel gas.INFERIOR VENA CAVA: Unable to visualize the IVC due to body habitus and overlying bowel gas.OTHER: The bladder is nondistended.
1. Increased coarse echogenicity of liver consistent with fatty infiltration and chronic liver disease/parenchymal dysfunction. No focal mass or ascites.2. Multiple echogenic foci within the parenchyma of the spleen likely represents calcifications related to prior granulomatous disease.3. Unable to visualize aorta or IVC due to body habitus and overlying bowel gas.