58-year-old male with cardiogenic shock. Screening for LVAD work. LIVER: Increased echogenicity of the liver measuring 16.9 cm in length. No focal hepatic lesions. Portal vein is patent with appropriate directional flow; peak velocity measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: Normal echogenicity of the gallbladder. No gallbladder wall thickening. No pericholecystic fluid. Common bile duct measures 3 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Visualized portions of the pancreas are unremarkable.SPLEEN: Spleen measures 9.6 cm in length.KIDNEYS: Increased echogenicity of the right kidney measuring 11.8 cm in length. No hydronephrosis or shadowing calculi are noted. Increased echogenicity of the left kidney measuring 11.6 cm in length. No hydronephrosis or shadowing calculi are noted. ABDOMINAL AORTA: The visualized abdominal aorta is normal in caliber with appropriate directional flow. The proximal aorta measures 1.9-cm x 1.8 cm x 1.8 cm.INFERIOR VENA CAVA: The visualized IVC is patent with appropriate directional flow.OTHER: Foley within a decompressed bladder limiting evaluation.
1. Increased echogenicity of the liver compatible with fatty infiltration2. Increased echogenicity of the kidneys suggestive of parenchymal dysfunction.