Male, 68 years old. Reason: baseline exam as part of evaluation for heart transplant History: none LIVER: The liver measures 17.7 cm, with heterogeneous increased echogenicity, and no focal lesion.The main portal vein is patent, with normal hepatopetal flow.GALLBLADDER, BILIARY TRACT: No intrahepatic or extrahepatic biliary ductal dilatation. The common bile duct measures 0.3 cm. Gallbladder wall thickness is normal. No stones.PANCREAS: The pancreas is completely obscured by overlying bowel gas.SPLEEN: 11.9 cm in length, without focal lesion.RIGHT KIDNEY: 12.0 cm in length, with increased echogenicity. No focal lesion or hydronephrosis.LEFT KIDNEY: 11.4 cm in length, with increased echogenicity. No focal lesion or hydronephrosis.BLADDER: The bladder is incompletely distended, with minimal circumferential wall thickening and trabeculation.ABDOMINAL AORTA: The abdominal aorta is completely obscured by overlying bowel gas.INFERIOR VENA CAVA: The IVC is patent.OTHER: Right pleural effusion.
1.Echogenic liver compatible with fatty infiltration. Echogenic kidneys compatible with medical renal disease.2.Circumferential bladder wall thickening and trabeculation, likely related to prostate hypertrophy.3.Overlying bowel gas limits evaluation of deep abdominal structures, including the aorta.