73 year old male with cirrhosis status post TIPS. Evaluate TIPS patency. LIMITED ABDOMENLIVER: Measures 13.4 cm in length with coarse echotexture and nodular contour consistent with cirrhosis. No focal hepatic lesions.BILIARY TRACT: Shadowing stones within the gallbladder. No gallbladder wall thickening. No pericholecystic fluid. Common duct measures 4 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Tail of the pancreas is obscured by overlying bowel gas. The remaining visualized portions are unremarkable.SPLEEN: Borderline enlarged spleen measuring 13.3 cm in length.  RIGHT KIDNEY: Normal echogenicity of the right kidney measured 11.5 cm in length. Mid to upper pole cyst measures 2.6 cm x 3.2 cm x 3.9 cm. No hydronephrosis or shadowing calculi are noted.OTHER: Normal echogenicity of the left kidney measuring 13.1 cm in length. No hydronephrosis or shadowing calculi are noted.
1. Cirrhotic liver morphology with no focal hepatic lesions. Patent TIPS as well as hepatic inflow and outflow vasculature.2. Cholelithiasis with no evidence of cholecystitis. 3. Right renal cyst. 4. Borderline enlarged spleen. 