Cirrhosis. Abdominal distention. LIVER: Cirrhotic liver morphology. Coarsened parenchymal echogenicity. 17 cm in length. No focal hepatic lesions. Patent portal vein with normal direction of flow. Pulsatile portal venous flow likely reflects patient's cardiac failure.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Thickened gallbladder wall, which is nonspecific in the setting of ascites. Biliary sludge noted. No sonographic Murphy's sign.PANCREAS: 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 6.8 cm in length. The left kidney is 7.6 cm in length. The renal parenchyma is markedly echogenic. No suspicious renal lesions are evident. No hydronephrosis is present.SPLEEN: 10.1 cm in length, without focal lesions evident.OTHER: Moderate amount of ascites present.
1. Cirrhosis without suspicious hepatic lesions identified.2. Moderate amount of ascites.3. Echogenic renal parenchyma without hydronephrosis, compatible with medical renal disease.