51-year-old female patient with elevated INR, hyperammonemia, altered mental status, leukocytosis, sepsis. Evaluate hepatic vasculature, ducts for cause of synthetic liver failure. Study is limited secondary to patient body habitus. LIMITED ABDOMENLIVER: The liver measures 23.8 cm in length and demonstrates increased parenchymal echogenicity.BILIARY TRACT: The gallbladder is surgically absent. There is no definite intra or extrahepatic biliary ductal dilatation. The common duct measures 5 mm in diameter.PANCREAS: The pancreas is not visualized on this examination.SPLEEN: The spleen measures 8.6 cm in length. RIGHT KIDNEY: The right kidney measures 10 cm in length. No evidence of hydronephrosis.OTHER: The left kidney measures 10.9 cm in length. No definite evidence of hydronephrosis.
1. Limited study though with hepatomegaly and increased hepatic parenchymal echogenicity which can be seen with hepatic parenchymal dysfunction/hepatic steatosis.2. Patent hepatic vasculature. 