71-year-old male with history of alcohol abuse. LVAD workup. Evaluate for cirrhosis. LIVER: Liver is enlarged measuring 21 cm in length and appears moderately echogenic which is non---- specific. There is no focal hepatic abnormality. There is relative enlargement of the left and caudate lobes suggestive cirrhosis. Limited color and spectral Doppler demonstrates patency and appropriate flow direction in the main portal vein.GALLBLADDER, BILIARY TRACT: Gallbladder appears unremarkable without cholelithiasis, wall thickening or pericholecystic fluid. Visualized portions of the biliary tract are normal in caliber.PANCREAS: Limited due to bowel gas.RIGHT KIDNEY: The right kidney measures 10.8 cm in length and is mildly echogenic consistent with parenchymal disease.OTHER: Left kidney is also echogenic consistent with parenchymal disease measuring approximately 10.5 cm in length with a 3 cm exophytic simple cyst. Splenic size is within normal limits. Small amount of ascites.
Cirrhotic-appearing liver with small amount of ascites.Echogenic kidneys.