75-year-old male with thrombocytopenia, evaluate. LIVER: Increase in hepatic parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions. Hepatic length measures 14.4 cm. The main portal vein is patent with normal hepatopetal flow with a velocity of 20 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder wall measuring 3 mm. Sludge is noted within the gallbladder. The common bile duct measures 3.7 mm in diameter. No choledocholithiasis. No intra or extrahepatic biliary ductal dilatation identified.PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 9.6 cm and has a normal echotexture.KIDNEYS: The kidneys have normal corticomedullary differentiation. The right kidney measures 10.3 cm with no hydronephrosis. The left kidney measures 11.1 cm with no hydronephrosis. OTHER: Right pleural effusion is noted.
1.Increase in hepatic parenchymal echogenicity with coarsened echotexture consistent with fatty liver/hepatic parenchymal dysfunction. No hepatic mass or ductal dilatation identified.2.Gallbladder sludge without evidence of acute cholecystitis.3.Right pleural effusion.