Reason: LVAD work up, rule out cirrhosis or kidney disease LIVER: The liver measures 16.0 cm in length. Increased parenchymal echogenicity is suggestive of fatty infiltration/parenchymal dysfunction. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.33 m/s.BILIARY TRACT: Sludge is present within the gallbladder without associated gallbladder wall thickening or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 12.7 cm in length. RIGHT KIDNEY: Kidney measures 10.2 cm in length. Increased parenchymal echogenicity. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 12.3 cm in length. Increased parenchymal echogenicity. No hydronephrosis, shadowing calculus or mass. Simple cyst. ABDOMINAL AORTA: The abdominal aorta measures 3.1 x 3.1 proximally. The mid and distal aorta are not well visualized.INFERIOR VENA CAVA: Not visualized.OTHER: Foley catheter. Moderate ascites. Right pleural effusion.
1.Echogenic liver suggestive of fatty infiltration/parenchymal dysfunction without morphologic evidence of cirrhosis. 2.Ascites and right pleural effusion.3.Echogenic kidneys compatible with medical renal disease.