Male 76 years old; Reason: evaluate for hepatic dysfunction History: as above LIVER: The liver measures 16.6 cm in length. There is coarse increased echogenicity of the liver parenchyma. There is a nodular appearance to the liver and moderate ascites is seen. No focal hepatic lesions. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow measured at 19.8 cm/s. Pleural effusion is seen on the right.GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 1.2 mm. Several small shadowing stones are seen along with minimal layering sludge. No pericholecystic fluid. Negative sonographic Murphy sign. The common bile duct measures 2.9 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 12.0 cm and no significant abnormalities are noted.Pleural effusion is seen on the left.RIGHT KIDNEY: The right kidney measures 10.8 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 10.8 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.
1. The liver has a coarse nodular appearance which is compatible with cirrhotic morphology. Moderate ascites is present. There are no worrisome masses seen within the liver.2. Cholelithiasis without evidence of acute cholecystitis.3. Bilateral pleural effusions are seen.