39-year-old male with elevated alkaline phosphatase, pre-heart transplant evaluation. LIVER: Slight coarse echogenicity of the liver measuring 20.1 cm in length. No focal hepatic lesions. Main portal vein is patent with appropriate directional flow; peak velocity measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: Normal echogenicity of the gallbladder. No gallbladder wall thickening. No pericholecystic fluid. Common duct measures 3 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Not well visualized.SPLEEN: Normal echogenicity measuring 11.6 cm in length.KIDNEYS: Right kidney measures 10.4 centers in length. No hydronephrosis or shadowing calculi are noted. Limited evaluation of the left kidney measuring 10.2 cm in length. No definite hydronephrosis or shadowing calculi are noted.ABDOMINAL AORTA: The proximal visualized aorta is patent measuring 2.0 cm x 1.8 cm x 0.8 cm. The remaining abdominal aorta is obscured by overlying bowel gas.INFERIOR VENA CAVA: The visualized IVC is patent with appropriate directional flow.OTHER: Bladder is well distended with no significant abnormalities noted. The prostate is visualized and is unremarkable.
Slight coarse echogenicity of the liver suggestive of parenchymal dysfunction/fat infiltration. No focal hepatic lesions. 