71 year old male patient with CKD, history of alcohol abuse. Evaluate liver and kidneys. LIVER: The liver measures 14.9 cm in length. Hepatic parenchymal echogenicity is increased. There is slight nodularity of the liver contour. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 2 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 9.5 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 11 cm in length. No evidence of hydronephrosis.The spleen measures 10.8 cm in length.A left pleural effusion is noted.
1. Findings suggestive of chronic liver disease.2. Left pleural effusion. 