65 year old male with abdominal distention, transaminitis, hyperbilirubinemia. Limited exam due to patient body habitus.LIVER: Coarse echotexture of the liver and nodular contour suggestive of underlying cirrhosis. Liver measures 20.9 cm in length. Portal vein is patent with appropriate directional flow. No focal hepatic lesion.  GALLBLADDER, BILIARY TRACT: Status post cholecystectomy. No intra or extrahepatic biliary ductal dilatation.PANCREAS: Not well visualized due to overlying bowel gas.RIGHT KIDNEY: Right kidney measures 13.7 cm in length. No hydronephrosis.OTHER: Left kidney measures 13.8 cm in length. No hydronephrosis.Spleen measures 14.2 cm in length.Upper abdominal ascites.
1. Hepatosplenomegaly. Coarse echotexture and nodular contour of the liver suggestive of underlying cirrhosis.2. Upper abdominal ascites. 