74-year-old female with history of coagulopathy, and abnormal LFTs. LIVER: The liver is mildly coarse and increased in echogenicity. There may be mild liver capsule nodularity. No focal hepatic lesion or intrahepatic biliary ductal dilatation is evident. The liver measures 12.7 cm in craniocaudal dimension. Normal hepatopetal portal venous blood flow is present at 30 cm/sec.BILIARY TRACT: A partially distended gallbladder is present with a mildly prominent wall thickness of 3.2 mm, which is likely in part due to underdistention. No pericholecystic fluid, gallstones or focal tenderness. The common bile duct is normal in caliber for the patient's age, measuring up to 7 mm.PANCREAS: Evaluation of the pancreas is limited by overlying bowel gas shadowing.SPLEEN: The spleen measures 7.2 cm in length without a focal lesion evident.RIGHT KIDNEY: The right kidney measures 8.6 cm in length without hydronephrosis. There is decreased corticomedullary differentiation. OTHER: The left kidney is decreased in size, measuring 8.2 cm in length without hydronephrosis or shadowing calculus. There is decreased of corticomedullary differentiation. Small volume ascites.
1. Mildly coarse and echogenic liver parenchyma may represent diffuse fatty infiltration and/or parenchymal dysfunction. Possibly nodular liver contour raises the possibility of cirrhosis.2. Small volume ascites.3. Findings compatible with medical renal disease.