67 year old female with history of acute renal failure. Evaluate right upper quadrant due to elevated bilirubin, and for renal obstruction. LIVER: The liver has a subtly nodular contour, and measures 15.5 cm in length. Heterogeneous echogenicity, suggestive of cirrhosis. Moderate amount of abdominal and pleural fluid.GALLBLADDER, BILIARY TRACT: No biliary dilatation, or other significant abnormality. History of cholecystectomy.PANCREAS: No significant abnormality noted.SPLEEN: No significant abnormality noted. The spleen measures 13.5 cm.KIDNEYS: No hydronephrosis or hydroureter, and no additional significant abnormality noted. The right kidney measures 13 cm, the left kidney measures 12.5 cm.ABDOMINAL AORTA: The abdominal aorta measures 2.4 cm in widest dimension.INFERIOR VENA CAVA: The IVC is not well visualized.OTHER: No significant abnormality noted.
Abdominal ascites and pleural effusions as above, without findings of biliary dilatation, or renal obstruction. Imaging findings suggestive of cirrhosis.