Male; 60 years old. Reason: complete abdominal ultrasound for heart transplant evaluation History: pre-cardiac transplant evaluation LIVER: The liver has a smooth contour. Liver measures 17.3 cm in length. The parenchyma is normal in echotexture. There is no focal hepatic mass identified. The main portal vein is patent and demonstrates normal direction of flow with a peak velocity of 0.29 m/sec.BILIARY TRACT: The gallbladder has an anechoic lumen. There is no gallbladder wall thickening. There is no intrahepatic biliary ductal dilatation. Common duct measures 2 mm in diameter. PANCREAS: The imaged head of the pancreas is normal. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney measures 12.2 cm. The cortex is normal in echogenicity. No shadowing calculi or hydronephrosis is present. A hypoechoic band in the right kidney raises the question of a duplicated collecting system. The left kidney measures 12.3 cm. The cortex is normal in echogenicity. SPLEEN: The spleen measures 13.6 cm. in length. ABDOMINAL AORTA: Proximal portion: 1.6 x 1.8 x 2.2 cmMid portion: 1.7 x 1.7 x 1.8 cmDistal portion: 1.6 x 2.0 x 2.1 cmINFERIOR VENA CAVA: The imaged portions are patent.
1.Focal hypoechoic band in the right kidney raises the question of a duplicated collecting system, this may be correlated with cross-sectional imaging if clinically warranted.2.Hepatomegaly.