26 year old male with rising LFTs, cholestasis, history of Crohn's disease. Evaluate for hepatic clot, portal vein thrombosis, bile duct obstruction. LIMITED ABDOMENLIVER: Mild coarse echogenicity of the liver measuring 18.7 cm in length. No focal hepatic lesions.BILIARY TRACT: Contracted gallbladder making assessment for wall thickening difficult. No pericholecystic fluid. Common bile that measures 3 mm in caliber. No intra-or extrahepatic delayed ductal dilatation.PANCREAS: Distal tail of the pancreas is obscured by overlying bowel gas. The visualized portions are unremarkable.SPLEEN: Measures 14.8 cm in length.RIGHT KIDNEY: Measures 11.9 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Left kidney measures 12.5 cm in length. No hydronephrosis or shadowing calculi are noted.Incompletely imaged bilateral pleural effusions.
1. Mild coarse echogenicity of the liver suggestive of parenchymal dysfunction. Mild hepatosplenomegaly. 2. Patent hepatic vasculature. 3. Incompletely imaged bilateral pleural effusions. 