69-year-old male with right flank pain. Evaluate for renal stone, hydronephrosis, renal parenchymal disease, gallstones, liver mass. Limited exam due to patient positioning as imaging was obtained in the upright position, patient was not able to lie supine.LIVER: Coarse echotexture of the liver with a nodular contour compatible with cirrhosis. The liver measures 16.1 cm in length. Main portal vein is patent with appropriate directional flow.GALLBLADDER, BILIARY TRACT: Normal echogenicity of the gallbladder. No gallbladder wall thickening. No pericholecystic fluid. No evidence of cholelithiasis. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: The visualized portions of the pancreas are normal in echogenicity. No evidence of pancreatic ductal dilatation.SPLEEN: Normal echogenicity of the spleen measuring 10.3 cm in length.KIDNEYS: Right kidney measures 9.6 cm in length and is increased in echogenicity with no evidence of hydronephrosis. Left kidney measures 10.1 cm in length and is increased in echogenicity with no evidence of hydronephrosis.ABDOMINAL AORTA: No significant abnormality noted.INFERIOR VENA CAVA: No significant abnormality noted.OTHER: No significant abnormality noted.
1. Cirrhotic liver morphology. 2. Increased echogenicity of the kidneys suggestive of parenchymal dysfunction. No obstruction. 