Transaminitis with fibrosis noted at OSH, evaluate for liver disease. LIVER: The liver measures 12.1 cm in length and is nodular in contour. The liver parenchymal echotexture is coarse. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating somewhat pulsatile hepatopetal flow with a velocity of 0.25 m/s.BILIARY TRACT: Cholelithiasis without significant gallbladder wall thickening or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 2 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 8.5 cm in length. RIGHT KIDNEY: Kidney measures 9.7 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or massLEFT KIDNEY: Kidney measures 9.8 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or massOTHER: Bilateral pleural effusions.
1.Findings suggestive of chronic liver disease without focal lesions identified.2.Cholelithiasis without secondary evidence of acute cholecystitis.3.Bilateral pleural effusions.