Hyperbilirubinemia LIVER: Cirrhotic liver morphology. No focal hepatic lesions evident. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Status post cholecystectomy.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 13.0 cm in length, with a 3.5 cm superior pole cyst and 3.7 cm inferior pole cyst. The left kidney is 10.8 cm in length. Increased renal parenchymal echogenicity bilaterally. No suspicious renal lesions are evident. No hydronephrosis is seen.SPLEEN: 16.9 cm in length, without focal lesions evident.OTHER: Moderate amount of ascites noted. Layering debris in the bladder.
1. Cirrhotic liver morphology with splenomegaly and ascites, similar to prior.2. Findings compatible with medical renal disease, without hydronephrosis.