66 year old male, evaluation for heart transplant. Baseline exam LIVER: Coarse echogenicity of the liver measuring 17.2 cm in length. No focal hepatic lesions. Main portal vein is patent with appropriate directional flow; peak velocity measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Normal echogenicity of the gallbladder. No gallbladder wall thickening. Common duct measures 4 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Not well-visualized overlying bowel gas.SPLEEN: Normal echogenicity of the spleen measuring 11.6 cm in length.KIDNEYS: Right kidney measures 11.1 cm in length. Non obstructing nephrolithiasis is noted. Left kidney measures 11.3 cm in length. No hydronephrosis or shadowing calculi are noted.ABDOMINAL AORTA: Atherosclerotic abdominal aorta with measurements as follows: proximal aorta measures 2.8 cm x 2.4 cm, the mid abdominal aorta measures 2.0 cm x 2.3 cm and the distal abdominal aorta measures 1.9 cm x 2.1 cm.INFERIOR VENA CAVA: The visualized IVC is patent with appropriate directional flow.OTHER: Small amount of ascites.Incompletely imaged bilateral pleural effusions.
1. Hepatomegaly with coarse echotexture suggestive of parenchymal dysfunction/fatty infiltration. No focal hepatic lesions. 2. Non obstructing right nephrolithiasis.3. Small amount of ascites and incompletely imaged bilateral pleural effusions.