Jaundice and elevated bilirubin. Status TAVR and right hip fixation. LIVER: The liver is mildly coarse in echotexture. It is normal in morphology. It measures 16.8 cm in length. No focal lesion or intrahepatic biliary ductal dilatation. The hepatic veins are dilated. Hepatopedal portal venous blood flow at 45 cm/s.BILIARY TRACT: The common duct measures up to 8 mm without a filling defect evident.Sludge within a normally distended gallbladder. The gallbladder wall measures 2 mm. Trace pericholecystic free fluid is nonspecific. No focal tenderness.PANCREAS: The visualized portions of the pancreatic head and body are unremarkable. The remainder is obscured by overlying bowel gas.SPLEEN: The spleen is normal in size measuring 7 cm. The left kidney measures 8.2 cm in length without hydronephrosis or shadowing nephrolithiasis.RIGHT KIDNEY: The right kidney is atrophic measuring 8.2 cm in length without hydronephrosis or shadowing nephrolithiasis. OTHER: No significant abnormalities noted.
Coarse liver parenchyma suggestive of parenchymal liver disease. Gallbladder sludge without specific evidence of acute cholecystitis.Atrophic kidneys compatible with chronic renal disease.