57-year-old male with history of cirrhosis and sclerosing cholangitis who presents for baseline examination prior to heart transplant. LIVER:The liver is coarse and heterogeneous in echotexture with nodular contour and possible underlying hypoechoic lesions which are difficult to evaluate on this sonographic evaluation. The liver measures 21 cm in length. The main portal vein is patent with peak systolic velocity of 0.2 m/s.GALLBLADDER, BILIARY TRACT: Gallbladder wall measures 0.3 cm with the common bile duct measuring 0.7 cm in diameter.PANCREAS: No significant abnormality noted.SPLEEN: The spleen measures 18.4 cm in length and is homogeneous in echotextureKIDNEYS: The cortices of both kidneys are echogenic with the right kidney measuring 11.6 cm and the left kidney measuring 11.6 cm in length. There is a hypoechoic lesion in the right upper pole measuring 1.1 x 0.9 x 0.9 cm, likely a cyst.ABDOMINAL AORTA: Abdominal aorta is patent with the proximal abdominal aorta measuring 3.1 x 3.3 x 3.3 cm and the mid abdominal aorta measuring 2.2 x 2.3 x 2.3 cm.INFERIOR VENA CAVA: Inferior vena cava is patent.OTHER: Moderate volume ascites.
1.Cirrhotic liver morphology with possible underlying hypoechoic lesions. Further evaluation with dedicated liver MRI examination is recommended.2.Moderate volume ascites. 3.Echogenic renal cortices compatible with medical renal disease. 