31-year-old male presents for pre heart transplant evaluation. Of note, the study is limited by inability to optimally position the patient and by bowel gas.LIVER:Measures 18.3 cm. Increased echogenicity. No ascites, focal mass, or intrahepatic biliary dilation. The portal vein is patent with normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: The gallbladder is nondistended. Normal anechoic lumen. There is an approximately 0.6 x 0.7 x 0.8 cm nondependent hyperechoic focus within the lumen, consistent with gallbladder polyp. No stones or sludge. No pericholecystic fluid. The gallbladder wall measures 4.6 mm. The common bile duct measures 4.7 mm.PANCREAS: Evaluation the pancreas limited due to overlying bowel gas.SPLEEN: Measures 14.3 cm without sonographic abnormalities.KIDNEYS: The right kidney measures 10.8 cm. Left kidney measures 11.3 cm. The cortices have normal echogenicity. No hydronephrosis, stones, or focal masses. ABDOMINAL AORTA: The parameters of the aorta are within normal limits without evidence of aneurysm.INFERIOR VENA CAVA: Patent.OTHER: No significant abnormality noted.
1. Increased echogenicity of liver consistent with chronic liver disease/parenchymal dysfunction. No mass or ascites.2. Gallbladder polyp measuring approximately 0.6 x 0.7 x 0.8 cm. Recommend follow-up ultrasound to assess gallbladder polyp in 6 months.