67 years old, Male, History: amyloidosis c/b ESRD on HD and instetinal involvement requiring TPN, p/w GNR bacteremia, trying to find source LIVER: The liver measures 14.2 cm in length. Echogenicity of the liver parenchyma is within normal limits. No focal hepatic lesions to suggest abscess or other abnormality. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.3 m/s.BILIARY TRACT: Patient status post cholecystectomy. The common bile duct measures 4 mm in diameter.PANCREAS: The pancreas is not well visualized. No significant abnormalities noted in the visualized area of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 8.2 cm in length. RIGHT KIDNEY: Kidney measures 10.5 cm in length. Increased echogenicity of the renal parenchyma is consistent with known renal disease. No focal lesion to suggest abscess. No perinephric fluid collection. No evidence of hydronephrosis or shadowing calculus.LEFT KIDNEY: Kidney measures 10.1 cm in length. Increased echogenicity of the renal parenchyma is consistent with known renal disease. No focal lesion to suggest abscess. No perinephric fluid collection. No evidence of hydronephrosis or shadowing calculus.OTHER: No significant abnormalities noted.
1.No focal lesion to suggest abscess or visualized fluid collection to indicate a source of infection.2.Echogenic kidneys consistent with known medical renal disease.