76-year-old male. Abnormal LFTs. Evaluate for obstruction. LIVER: Normal echogenicity and echotexture the liver. The liver is 12 cm in length. No focal hepatic mass. Hepatoportal venous flow.GALLBLADDER, BILIARY TRACT: No biliary ductal dilatation. Common duct is 3 mm, within normal limits. Gallbladder sludge. Trace pericholecystic fluid, nonspecific in presence of ascites. Patient is not tender over the gallbladder.PANCREAS: Visualized pancreatic head is normal in echogenicity. Remainder of the pancreas is obscured by bowel gas.RIGHT KIDNEY: Right kidney is than 20 cm in length and has a cyst. No hydronephrosis.OTHER: Large bilateral pleural effusions. Trace perisplenic fluid.
No biliary ductal dilatation. Gallbladder sludge with trace pericholecystic fluid, nonspecific in presence of ascites. Large bilateral pleural effusions.