77-year-old male patient with history of melena. Evaluate for liver parenchyma for changes suggestive of cirrhosis. Evaluation limited secondary to patient body habitus.LIVER: The liver measures 17.9 cm in length and demonstrates coarsened hepatic echotexture. Main portal vein flow is hepatopetal and measures 0.6 m/sec. The hepatic veins are dilated.GALLBLADDER, BILIARY TRACT: The gallbladder contains biliary sludge. No gallbladder wall thickening or pericholecystic fluid is identified. There is no intra- or extrahepatic biliary ductal dilatation. The common bile duct measures 5 mm in diameter.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: The right kidney measures 9.8 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 9.6 cm in length. No evidence of hydronephrosis.The spleen is poorly visualized.
1. Limited evaluation with coarsened hepatic echotexture suggestive of hepatic parenchymal dysfunction.2. Biliary sludge.