62-year-old female with refractory hypoglycemia without history of diabetes. Morbid obesity. Evaluate for evidence of hepatic cirrhosis. LIVER: Mild hepatomegaly without gross, focal abnormality. No definite morphology to suggest cirrhosis. Limited color and spectral Doppler demonstrates patency and appropriate flow direction in the main portal vein.BILIARY TRACT: Gallbladder appears normal without cholelithiasis, wall thickening or pericholecystic fluid. The biliary tract is normal in caliber.PANCREAS: Not visualized due to bowel gas.SPLEEN: Mildly enlarged.RIGHT KIDNEY: Poorly visualized due to body habitus. There is suggestion of atrophy and parenchymal thinning.OTHER: No ascites. Small, bilateral pleural effusions. Left kidney cannot be visualized.
No obvious evidence for cirrhosis.Question atrophy right kidney.Minimal pleural effusions.No ascites.