75-year-old male post kidney transplant and Hartman's procedure, now with rising bilirubin and alkaline phosphatase. LIVER: Liver is likely a mildly to moderately echogenic without gross focal abnormality. Limited color and spectral Doppler demonstrates patency and appropriate flow direction in the main portal vein.GALLBLADDER, BILIARY TRACT: Gallbladder is collapsed, containing multiple gallstones. Gallbladder wall is not thickened, and no pericholecystic fluid is seen.. Biliary tract is normal in caliber.PANCREAS: Pancreas appears somewhat pancreas appears somewhat enlarged and hypoechoic when compared to the prior exam no peripancreatic fluid collections RIGHT KIDNEY: Atrophic and echogenic with small cyst OTHER: Left kidney is atrophic and echogenicLimited images of transplant kidney in the right iliac fossa demonstrates patent artery and vein by color Doppler and no hydronephrosis or peritransplant collection. Bladder is collapsed.Bilateral pleural effusions.
Echogenic liver.Collapsed gallbladder stones.Somewhat enlarged, hypoechoic and heterogeneous pancreas. Patient's lipase is elevated and cannot exclude early pancreatitis. No complication.Echogenic and atrophic kidneys.Bilateral pleural effusions.Limited evaluation of transplant kidney demonstrates no abnormality.