Postoperative for hernia, cirrhosis with rising LFTs LIVER: Coarse echotexture of the liver consistent with cirrhotic morphology. Liver measures 15.2 cm. No focal lesions noted. Portal vein demonstrates normal flow directionality and patency. Perihepatic fluid/ascites noted which now demonstrates multiple septations and possibly loculated in nature.GALLBLADDER, BILIARY TRACT: Distended gallbladder with sludge and gallstones. Mild gallbladder wall thickening is secondary to the ascites. No intrahepatic biliary ductal dilatation.PANCREAS: Limited evaluation due to overlying bowel gas.RIGHT KIDNEY: Kidneys are mildly echogenic. Right kidney is not well visualized due to overlying bowel gas. Left kidney measures 11.6 cm with a nonobstructing stone in the mid pole which is unchanged from prior study.OTHER: Spleen measures 13 cm, mildly enlarged in size.
Cirrhotic morphology of the liver with portal hypertension mild splenomegaly. Moderate amount of perihepatic ascites which now demonstrates multiple septations and possibly loculated.CholelithiasisMildly echogenic kidneys. Limited evaluation of the right kidney. Nonobstructing left renal calculus.