60-year-old male patient with abdominal distention. LVAD work up. LIVER: The liver measures 18.3 cm in length. No focal hepatic lesion is identified. The main portal vein is patent with hepatopetal flow. GALLBLADDER, BILIARY TRACT: There is no intra or extrahepatic biliary ductal dilatation. The common bile duct measures 4 mm in diameter. There is echogenic shadowing material within the gallbladder without definite visualization of the gallbladder wall, which is likely contracted and filled with gallstones. Sonographic Murphy's sign is negative.PANCREAS: The pancreas is poorly visualized secondary to overlying bowel gas. SPLEEN: The spleen measures 11.3 cm in length.KIDNEYS: The right kidney measures 11.4 cm in length and the left kidney measures 12.1 cm in length. Renal cortical echogenicity is within normal limits. No evidence of hydronephrosis. ABDOMINAL AORTA: The proximal aorta measures 2.0 x 1.6 cm in diameter and the mid-aorta measures at least 1.6 cm in the AP dimension. The distal abdominal aorta and iliac vasculature is not visualized secondary to overlying bowel gas. INFERIOR VENA CAVA: Flow is identified within the proximal inferior vena cava with an echogenic structure distally, which is compatible with an IVC filter.OTHER: There is a small amount of ascites and bilateral pleural effusions.
1. No acute abdominal findings. 2. Cholelithiasis and probable contracted gallbladder.3. Bilateral pleural effusions and small amount of ascites. 