Ascites. Question of cirrhosis. LIVER: 17 cm in length. Non-cirrhotic liver morphology. Mildly increased hepatic echogenicity suggestive of a mild degree of parenchymal dysfunction. No focal hepatic lesions identified. Normal direction and flow of the portal vein.GALLBLADDER, BILIARY TRACT: Subcentimeter mural echogenicity with vascularity likely represents a benign polyp. There is minimal wall thickening, which is nonspecific in the setting of ascites. No sonographic Murphy's sign. No specific findings to suggest acute cholecystitis.PANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 7.3 cm in length, with markedly increased parenchymal echogenicity suggestive of medical renal disease. A 9 mm renal cyst is noted. No hydronephrosis is present.3.4 x 3.5 x 3.6 cm lobulated hypoechoic mass at the superior pole of the left kidney, without vascularity identified. The left kidney is otherwise not well visualized, likely due to diminutive size and increased echogenicity of medical renal disease. SPLEEN: 9.9 cm in length, without focal lesions evident.ABDOMINAL AORTA: Patent, without aneurysmal dilation.INFERIOR VENA CAVA: Patent, without significant abnormality noted.BLADDER: No significant abnormality noted.OTHER: Small bilateral pleural effusions are noted. Moderate amount of abdominal ascites is present.
1. Non-cirrhotic liver morphology. Mildly increased hepatic echogenicity suggestive of mild parenchymal dysfunction.2. 3.6 cm hypoechoic mass at the left upper renal pole, possibly a complex cyst, though better characterized on the prior CT. 3. Moderate amount of abdominal ascites. Small bilateral pleural effusions.4. Increased renal echogenicity, compatible with medical renal disease.