Fever. Elevated bilirubin. LIVER: Non-cirrhotic liver morphology. Coarsened parenchymal echogenicity. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Contracted gallbladder, which limits evaluation. Minimal gallbladder wall thickening is nonspecific in the setting of ascites. No gallstones or pericholecystic fluid.PANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 12.9 cm in length. The left kidney is 11.4 cm in length. No suspicious renal lesions are evident. No hydronephrosis is present.SPLEEN: 17.9 cm in length, without focal lesions evident.OTHER: Small amount of ascites identified.
1. Coarsened hepatic echogenicity, compatible with parenchymal dysfunction.2. Splenomegaly.3. Ascites. 