Elevated bilirubin LIVER: Mild intrahepatic bilobar ductal dilatation, left greater than right associated with pneumobilia. The known central mass is not well visualized on the current examination due to overlying gas. Limited Doppler interrogation of main portal vein again demonstrates portal vein thrombosis. Liver length 15.9 cm.GALLBLADDER, BILIARY TRACT: Gallbladder not visualized. Mild intrahepatic bilobar ductal dilatation, left greater than right associated with pneumobiliaPANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 9.8 cm in length OTHER: Left kidney 11.3 cm in length. Spleen 13.5 cm in length. Mild ascites.
No significant change in bilobar intrahepatic ductal dilatation with pneumobilia. Known central hepatic mass seen on CT not visualized due to overlying gas. Main portal vein thrombosis again noted. Mild ascites.