Female; 27 years old. Reason: 27 yo F 25 wk pregnant with h/o Crohn's disease s/p total proctocolectomy with h/o portal vein thrombosis. Evaluate portal vein residual thrombosis History: none LIVER: The liver measures 17 cm in length. Renal parenchyma is normal in echogenicity. There is no focal hepatic lesion is identified. There is no ascites.The main portal vein is patent with hepatopetal flow and a peak velocity of 0.4 m/sec.BILIARY TRACT: Gravel-like shadowing stones and sludge are seen layering in the dependent portions of the gallbladder. There is no gallbladder wall thickening or pericholecystic fluid. The common duct measures 4 mm in diameter. There is no intrahepatic biliary ductal dilatation.PANCREAS: The pancreatic head and body are unremarkable. The tail is obscured by overlying bowel gas.SPLEEN: The spleen measures 11 cm in length. No focal splenic lesion is identified.KIDNEYS: The right kidney measures 10.0 cm in length, the left measures 9.6 cm in length. The renal parenchyma is normal in echogenicity bilaterally. There is mild bilateral hydronephrosis. No shadowing renal stone is identified. OTHER: No significant abnormalities noted.
1.Patent portal vein with normal directional flow.2.Gallbladder gravel and sludge without evidence of acute cholecystitis.3.Mild hydronephrosis bilaterally, unchanged and likely physiologic given pregnancy.