Male 68 years old; Reason: pre transplant eval; eval for cirrhosis History: SOB, orthopnea LIVER: The liver measures 18.1 cm in length. There is coarse increased echogenicity of the liver parenchyma. No focal hepatic lesions. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow measured at 25.1 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 4.1 mm. No stones are seen. No pericholecystic fluid. Negative sonographic Murphy sign. The common bile duct measures 1.8 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 13.1 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 11.9 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 11.7 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen. An exophytic renal cyst is seen near the mid pole measuring 0.9 cm x 0.8 cm x 0.8 cm.ABDOMINAL AORTA: The liver is patent with appropriate directional flow.Distal: 1.7 cm in AP dimension. Mild aortic ectasia is seen.Mid: 1.9 cm in APProximal: Shadowed by bowel gas and not adequately measured.RIGHT ILIAC ARTERY: Measures 1.3 cm in AP dimensionLEFT ILIAC ARTERIES: Measures 1.5 cm in AP dimensionBLADDER: Bladder is decompressed and not well visualized.
1. Mild hepatomegaly. Coarse increased echogenicity compatible with chronic liver disease/early cirrhosis. No focal hepatic masses or ascites is seen.2. Mild abdominal aortic ectasia is seen. There is mild aneurysmal dilatation of the distal abdominal aorta and right and left iliac arteries.