49-year-old man with transaminitis. LIVER: Echogenicity of the hepatic parenchyma is normal. The liver measures 16.3 centimeters in length. No dilatation or cystic changes are noted of the intrahepatic or extrahepatic biliary ducts.There is marked dilatation of the hepatic veins.The main portal vein is patent with normal hepatopedal flow and velocity of 20.4 cm/s.GALLBLADDER, BILIARY TRACT: The gallbladder is collapsed. There is no pericholecystic fluid, gallbladder wall thickening or cholelithiasis. The common bile duct measures 0.2 cm in diameter. PANCREAS: The head and proximal body of the pancreas are normal. The tail is obscured by bowel gas.SPLEEN: The spleen is normal in echogenicity and measures 11 cm in length. RIGHT KIDNEY: The right kidney measures 12.0 cm in length and shows normal echotexture. No mass, stone or hydronephrosis.LEFT KIDNEY: The left kidney measures 12.4 cm in length and shows normal echotexture. No mass, stone or hydronephrosis.OTHER: Mild ascites. Large right pleural effusion.
Mild ascites and dilatation of the hepatic veins. Large right pleural effusion. Findings can all be seen in the setting of heart failure.