62 years old, Male, Reason: concern for cirrhosis History: anasarca LIVER: The liver measures 15.4 cm in length. Liver parenchyma is within normal limits. No surface nodularity to suggest cirrhosis. No focal hepatic lesion identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s.BILIARY TRACT: The gallbladder is sludge-filled without evidence of gallbladder wall thickening or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 11.6 cm in length. RIGHT NATIVE KIDNEY: Kidney measures 8.7 cm in length. Increased echogenicity consistent with known medical renal disease.TRANSPLANTED KIDNEY: Transplanted kidney in the right iliac fossa has normal echogenicity without evidence of significant hydronephrosis.LEFT KIDNEY: Kidney measures 9.5 cm in length. Increased echogenicity of the kidneys consistent with known medical renal disease.
1.No sonographic evidence of hepatic cirrhosis. 2.Echogenic native kidneys, compatible with medical renal disease. Visualized transplanted kidney in right iliac fossa unremarkable. 