Ascites. Renal dysfunction. Varices. LIVER: Coarsened parenchymal echogenicity. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Normal appearance of the gallbladderPANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 9.5 cm in length. The left kidney is 10 cm in length. The renal parenchyma is echogenic. No suspicious renal lesions are evident. No hydronephrosis is seen.BLADDER: No significant abnormality noted.SPLEEN: 8.5 cm in length, without focal lesions evident.AORTA: Patent with normal waveforms. Atherosclerotic calcifications are noted. The maximal diameter measures 2 cm in the mid abdominal aorta, without aneurysmal dilation. The remainder of the distal aorta is not well visualized due to overlying bowel gas.IVC: Patent.OTHER: Right pleural effusion, partially imaged. No significant ascites noted.
1. Coarsened hepatic echogenicity, compatible with chronic liver disease.2. Echogenic renal parenchyma without hydronephrosis, compatible medical renal disease.3. Right pleural effusion.