70-year-old male with elevated ammonia level LIVER: Measures 17.0 cm in length. Increased hepatic echogenicity without discrete focal lesion. Patent portal vein with antegrade flow. BILIARY TRACT: No cholelithiasis. No gallbladder wall thickening, pericholecystic fluid, or biliary ductal dilation. PANCREAS: The pancreas is incompletely imaged due to bowel gas. The imaged portions of the pancreas appear unremarkable. SPLEEN: Unremarkable in size and echogenicity. KIDNEY: Multicystic kidneys with increased echogenicity but no hydronephrosis. None of the visualized cysts demonstrate septations or solid components. The largest cyst on the left measures up to 7.3 cm in diameter.OTHER: No significant abnormalities noted.
1.Increased hepatic echogenicity consistent with hepatic steatosis or parenchymal disease.2.Multicystic echogenic kidneys consistent with medical renal disease.