62-year-old male with history of ethanol and heroine use, hepatitis C antibody positive. Assess for cirrhosis. LIVER: Measures 14.4 in length. Unremarkable hepatic morphology and echogenicity without discrete focal lesion. Patent portal vein with antegrade flow. BILIARY TRACT: Gallbladder sludge but no evidence of cholelithiasis. No gallbladder wall thickening, pericholecystic fluid, or biliary ductal dilation. PANCREAS: The pancreas is incompletely imaged due to bowel gas. The imaged portions of the pancreas appear unremarkable. SPLEEN: Unremarkable in size and echogenicity. KIDNEY: No hydronephrosis, nephrolithiasis, or solid mass. Increased renal echogenicity. Subcentimeter renal cysts.OTHER: The bladder is collapsed with a Foley catheter in place.
1. No evidence of hepatic cirrhosis or focal lesion. 2. Increased renal echogenicity consistent with medical renal disease.