Baseline exam for heart transplant evaluation LIVER:Liver is 16.4 cm with normal echotexture. No intrahepatic biliary ductal dilatation noted. No focal lesions.Main portal vein demonstrates normal flow directionality and patency.GALLBLADDER, BILIARY TRACT: Gallbladder is well-distended without any focal lesions. No pericholecystic fluid collection. Gallbladder wall thickness measures within 3 mm.PANCREAS: Head and body of pancreas appears unremarkable. Tail of pancreas not visualized to overlying bowel gas.SPLEEN: Kidney measures 9.6 cm with normal morphology. No focal lesions noted.KIDNEYS: Right kidney measures 7.9 cm the left kidney measures 12 cm. Mild increased echogenicity of both kidneys. No hydronephrosis or focal lesionsABDOMINAL AORTA: Abdominal aorta measures 2.1 x 1.8 cm proximally, 1.6 x 1.4 cm in the midportion and distally 1.5 x 1.5 cm. No evidence of any atherosclerotic plaques noted.INFERIOR VENA CAVA: PatentOTHER: No ascites
Mild increased echogenicity of the kidneys suggestive of underlying chronic medical renal disease.