20-year-old female with ascites. History of lupus and antiphospholipid syndrome. LIVER: Liver is normal in size and echotexture. No focal hepatic abnormality. Limited color and spectral Doppler demonstrates patency and appropriate flow direction in the main portal vein. BILIARY TRACT: Gallbladder is normal without cholelithiasis, wall thickening or pericholecystic fluid. The visualized biliary tract is normal in caliber.PANCREAS: Head and body are normal. The tail was not well seen.SPLEEN: No significant abnormalities noted.RIGHT KIDNEY: Moderately to markedly echogenic without hydronephrosis.OTHER: Left kidney is moderately to markedly echogenic without hydronephrosis.Ascites with largest collection in the right lower quadrant.Bilateral pleural effusions.
Mild to moderate ascites.Bilateral pleural effusions.Echogenic kidneys.