Male 49 years old; Reason: assess for cirrhosis, h/o ETOH use and congestive heart failure History: weight loss, elevated LFTS LIVER: The liver measures 15.3 cm in length. There is coarse echogenicity of the liver parenchyma. No focal hepatic lesions. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow. GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 3.1 mm. No stones are seen. No pericholecystic fluid. The common bile duct measures 4.3 mm in diameter. There are prominent vessels around the gallbladder which could be collaterals. This most likely does not represent cavernous transformation given the portal vein is patent.PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 5.6 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 10.5 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 10.0 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.OTHER: No significant abnormality noted.
1. Increased and coarse echotexture of liver consistent with chronic liver disease/parenchymal dysfunction. No masses.