Altered mental status, heart failure, concern for congestive hepatopathy versus infectious process LIMITED ABDOMENLIVER: Liver measures 17 cm with normal with normal echotexture. Portal vein demonstrates normal flow directionality and patency.No focal lesions noted.BILIARY TRACT: No intrahepatic biliary ductal dilatation. Gallbladder is well-distended with normal gallbladder wall thickness without any focal lesions or stones.PANCREAS: Not well visualized due to overlying bowel gas.SPLEEN: No significant abnormalities noted. RIGHT KIDNEY: Right kidney measures 10.2 cm and left kidney measures 10 cm with mildly increased echogenicity consistent with chronic medical renal disease. No hydronephrosis or focal lesions.OTHER: No ascites
1. Bilateral echogenic kidneys consistent with chronic medical renal disease.2. Liver vasculature is patent.