There is right pleural effusion and intraperitoneal fluid. Mild hepatomegaly with blunted edge. Liver parenchyma is corase inhomogenous with multifocal illl defined relatively low echoes seen through both lobes. Hepatic vein walls are not smooth. No Bile duct dilatation. Status post cholecystectomy.
Normal pancreas. Splenic size is about 12.76 * 8.47*7 cms. without focal mass. Normal urinary bladder without mass. Prostrate gland is normal in size and volumne without focal mass. There is ill defined low echoic solid mass seen anterior to rectal region. Small left renal size about 6 cms, lobulated margin without mass norhydronephrosis. RK=10.57*4.5*6.3 cms. No hydronephrosis or mass IMP Steatohepatitis with questionable dysplastic nodules. Metastasis can not be entirely excluded. Prominent spleen but still no evidence of portal HT. Atrophic RK with evidence of post inflammation.
Solid lesion in cal-de-sac. Rectum can not be evaluated. Ascites and right pleural effusion.