62-year-old male status post ex vivo hepatectomy, now with increasing output in drains, increasing creatinine. Evaluate flow through portal vein, evaluate kidneys. LIVER: Status post right hepatectomy. Remaining liver parenchyma is increased in echogenicity and measures 16.5 cm in length. Left portal vein is patent with appropriate directional flow; peak velocity measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: Status post cholecystectomy. No intrahepatic biliary ductal dilatation. Common duct is not well visualized.PANCREAS: Visualized portions of the pancreas are unremarkable.SPLEEN: Measures 14.1 cm in length and is normal in echogenicity.KIDNEYS: Right kidney measures 12.6 cm in length and is increased in echogenicity. No hydronephrosis or shadowing calculi are noted. Left kidney measures 11.5 cm in length and is increased in echogenicity. Mild pelvicaliectasis which was seen on prior CT dated 2/10/2015. No hydronephrosis or shadowing calculi are noted. ABDOMINAL AORTA: Proximal aorta measures 2.2 cm x 1.9 cm x 2.4 cm and is patent with appropriate directional flow.INFERIOR VENA CAVA: The visualized IVC is patent with appropriate directional flow.OTHER: Right pleural effusion. Trace ascites.
1. Status post right hepatectomy with increased echogenicity of the remaining liver parenchyma suggestive of parenchymal dysfunction/fatty infiltration. Patent left portal vein. 2. Trace ascites. Right pleural effusion. 3. Increased echogenicity of the kidneys suggestive of parenchymal dysfunction. Mild left pelvicaliectasis. No hydronephrosis. 