Status post LVAD, transaminitis LIVER: Liver measures 17.5 cm with coarse echotexture suggestive of chronic liver disease or fatty infiltration. No intrahepatic biliary ductal dilatation noted. Portal vein demonstrates normal flow directionality and patency. GALLBLADDER, BILIARY TRACT: The common bile duct measures 4 mm in diameter. There is no cholelithiasis or findings to suggest acute cholecystitis.PANCREAS: The pancreas is entirely obscured by bowel gas.SPLEEN: The spleen measures 10. 8 cm in length.RIGHT KIDNEY: Right kidney measures 11 cm and left kidney measures 10.8 cm. No hydronephrosis. Normal echotexture noted. No focal lesion.OTHER: No ascites
Coarse hepatic echotexture suggestive of chronic medical renal disease or fatty liver.