47-year-old female patient with splenomegaly. Assess portal flow. LIVER: The liver measures 15.5 cm in length and demonstrates coarsened parenchymal echogenicity. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 5 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 11.2 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 12.4 cm in length. No evidence of hydronephrosis.The spleen measures 13.8 cm in length.
1. Splenomegaly.2. Patent portal vein.3. Coarsened hepatic parenchymal echogenicity which could represent hepatic parenchymal dysfunction.