89-year-old male with decreased appetite, abnormal LFTs, weight loss LIVER: Liver is normal in size and is mildly heterogeneously echogenic which may be due to irregular fatty infiltration. There is no focal hepatic abnormality. Limited color and spectral Doppler demonstrates patency and appropriate flow direction in the main portal vein.BILIARY TRACT: Gallbladder contains small amount of dependent sludge. No shadowing gallstones are identified. Although the gallbladder wall is mildly thickened, there is ascites associated and therefore the finding is not specific. Visualized portions of the biliary tract are normal in caliber.PANCREAS: Limited due to bowel gas. Body appears normal.SPLEEN: No significant abnormalities noted.KIDNEY: Right kidney is highly echogenic and small on limited views. Small right renal cyst. Limited views of the left kidney demonstrates likely mild increased echogenicity without hydronephrosis. Left kidney appears relatively small as well. OTHER: Mild ascites.
Mildly heterogeneous increased liver echogenicity which may be due to fatty infiltration.Small amount of gallbladder sludge. Mild wall thickening associated with ascites. No stones.Highly echogenic right kidney and mildly echogenic left kidney. Both kidneys appear small.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.