Reason: evidence of biliary dilation, stones; eval for liver echotexture History: rising bilirubin, possible cirrhosis LIVER: The liver measures 15.7 cm in length. Mildly 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 0.3 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 11.1 cm in length. RIGHT KIDNEY: Kidney measures 11.9 cm in length. Increased parenchymal echogenicity. No hydronephrosis, shadowing calculus or massLEFT KIDNEY: Kidney measures 11.4 cm in length. Increased parenchymal echogenicity. No hydronephrosis, shadowing calculus or massOTHER: Right pleural effusion. Ascites.
1.No evidence of acute cholecystitis or biliary ductal dilatation.2.Increased hepatic echogenicity suggestive of chronic hepatic disease. 3.Increased renal echogenicity suggestive of medical renal disease.4.Right pleural effusion. Ascites.