54-year-old male requires abdominal evaluation prior to heart transplantation. LIVER:The liver measures 18.0 cm. There is very mild heterogenous coarse echogenicity. The portal vein is patent with normal hepatopedal flow measured at 26.6 cm/s. No masses or ascites.GALLBLADDER, BILIARY TRACT: The gallbladder is normal in appearance without distention. The gallbladder wall measures 3.2 mm. No stones. Common bile duct measures 1.3 mm.PANCREAS: Visualization of the pancreas is limited by overlying bowel gas, however visualized portions are normal.SPLEEN: The spleen measures 10.0 cm. No abnormalities noted.KIDNEYS: The right kidney measures 10.9 cm. The cortex has normal echogenicity. No shadowing calculi or masses noted. Left kidney measures 11.1 cm. The cortex has normal echogenicity. No shadowing calculi or worrisome masses noted. No hydronephrosis bilaterally. There is a 0.8 x 0.9 x 0.9 cm round circular well-defined anechoic lesion with posterior acoustic shadowing, consistent with a simple renal cyst. ABDOMINAL AORTA: No significant abnormality noted.INFERIOR VENA CAVA: Inferior vena cava is patent.OTHER: The bladder is nondistended. The prostate measures 5.6 x 5.3 cm and is normal in appearance.
1. Very mild heterogeneous coarse echotexture of the liver consistent with mild chronic liver disease/parenchymal dysfunction.