55-year-old male, advanced heart failure workup. LIVER: Liver measures 19.1 cm in length with slight nodular contour of the liver likely related to passive hepatic congestion. There is mild pulsatility of the main portal vein. There is perihepatic ascites. GALLBLADDER, BILIARY TRACT: Gallbladder is normal with pericholecystic fluid. Gallbladder wall measures 3 mm in thickness. Sonographic Murphy's sign is negative. Common bile duct measures 3 mm in caliber. No intra or extrahepatic biliary ductal dilatation.PANCREAS: Tail of pancreas is obscured by overlying bowel gas however the remaining pancreatic parenchyma is normal in echogenicity with no evidence of pancreatic ductal dilatation.RIGHT KIDNEY: Measures 11.4 cm in length with no hydronephrosis.OTHER: Left kidney is normal measuring 11.5 cm in length. Spleen is normal measuring 11.9 cm in length.
Perihepatic ascites with slight nodular contour of the liver likely related to passive hepatic congestion. Thickened gallbladder wall likely related to ascites. 