Reason: please assess liver for cirrhosis, please assess for hydronephrosis; decreased UOP Examination limited due to constraints positioning patient. LIVER: The liver measures 13.7 cm in length and is nodular in contour. The liver parenchymal echotexture is coarse. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating hepatopetal flow with a velocity of 0.31 m/s.BILIARY TRACT: Cholelithiasis without significant gallbladder wall thickening. Gallbladder is relatively collapsed. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3 mm in diameter.PANCREAS: Not well visualized.SPLEEN: No significant abnormalities noted. The spleen measures 11.6 cm in length. RIGHT KIDNEY: Kidney measures 9.7 cm in length. Increased parenchymal echogenicity. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Not well visualized.ABDOMINAL AORTA: Proximal aorta measures 2.4 cm in AP dimension. Middle and distal aorta not well visualized.INFERIOR VENA CAVA: Not well visualized.OTHER: Moderate ascites. Foley catheter.
1.Limited exam.2.Cirrhotic liver morphology. No focal hepatic lesions identified.3.Cholelithiasis.4.Echogenic right kidney suggestive of medical renal disease. No right hydronephrosis. Left kidney not visualized.5.Moderate ascites.