Female 54 years old Reason: pls study liver, spleen in pt w severe CHF and 1 month h/o abd 'bloating' History: no periph edema; no crackles in lungs, but increasing upper abd fullness x 1 mo in pt w severe CHF LIMITED ABDOMENLIVER: Liver is enlarged measuring 15 cm. Hepatic veins and IVC are dilated. These findings are secondary to patient's known congestive heart failure. No evidence of focal liver lesions. Liver echogenicity is unremarkable.BILIARY TRACT: Gallbladder wall is thickened likely secondary to heart failure. No evidence of cholelithiasis.PANCREAS: Not well visualized due to overlying bowel gas.SPLEEN: Spleen measures 12 cm. There is a hyperechoic area within the spleen measuring 7 mm likely representing a hemangioma. RIGHT KIDNEY: Right kidney measures 11.7 cm. Normal echogenicity. No focal lesions or hydronephrosis.OTHER: Left kidney measures 12 cm.
Hepatomegaly, dilated hepatic veins and IVC secondary to patient's known history of congestive heart failure. Mild splenomegaly. Likely a small hemangioma within the spleen.