19-year-old male with hypertrophic obstructive cardiomyopathy. Baseline exam for heart transplant evaluation. LIVER:The liver measures 15.1 cm in length. Normal echogenicity of the hepatic parenchyma. Dilated hepatic veins are compatible with history of heart failure. No suspicious lesions. The main portal vein demonstrates normal hepatopedal flow and velocity measuring 19.8 cm/s.GALLBLADDER, BILIARY TRACT: The distal CBD measures 3.5 mm in diameter, and the common bile duct at the porta hepatis measures 3 mm in diameter. No intra or extrahepatic biliary ductal dilatation. Normal distention of the gallbladder without intraluminal stones or wall thickening.PANCREAS: The visualized aspect of the pancreas is within normal limits. Incomplete visualization of the pancreatic body and tail due to overlying bowel gas.SPLEEN: The spleen measures 9.5 cm in length. Normal echogenicity.KIDNEYS: The right kidney measures 9.6 cm in length. No hydronephrosis. Normal echogenicity. The left kidney measures 10 cm in length. No hydronephrosis. Normal echogenicity. ABDOMINAL AORTA: Patent abdominal aorta with normal spectral Doppler waveforms. Abdominal aortic diameter measurements include:Proximal aorta: 2.1 x 2.1 cmMid aorta: 1.7 x 1.5 cmDistal aorta: 1.4 x 1.4 cmRight iliac artery: 1.1 x 1.1 cmLeft iliac artery: 1.1 x 1 cmINFERIOR VENA CAVA: The IVC is patent and has a normal waveform.OTHER: The urinary bladder is distended and shows no acute abnormality.
Dilated hepatic veins are compatible with history of heart failure. Otherwise, normal abdominal ultrasound.