48-year-old male with history of abdominal ascites. LIVER: Measures 21.8 in length. Cirrhotic hepatic morphology and increased hepatic echogenicity without discrete focal lesion. Patent portal vein with antegrade flow. BILIARY TRACT: No cholelithiasis. No gallbladder wall thickening, pericholecystic fluid, or biliary ductal dilation. PANCREAS: The pancreas is incompletely imaged due to bowel gas. The imaged portions of the pancreas appear unremarkable. SPLEEN: Unremarkable in size and echogenicity. KIDNEY: No hydronephrosis, nephrolithiasis, or solid mass. OTHER: Significantly loculated abdominal ascites. Small right pleural effusion.
1. Cirrhotic liver morphology with increased echogenicity consistent with chronic liver disease. No suspicious focal lesion identified. Patent portal vein. 2. Significantly loculated abdominal ascites.3. Small right pleural effusion.