Male 27 years old; Reason: 27 yo M with ? History PSC presenting with RUQ pain, elevated alk phos History: RUQ abdominal pain LIVER: The liver measures 17 cm in length. There are patchy areas of increased and course echogenicity of the liver parenchyma in particular around the periphery. No focal hepatic lesions. Mild patchy areas of Intra hepatic ductal dilation is seen predominantly on the right than the left side. The main portal vein is patent with normal hepatopetal flow. GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 3.7 mm. No stones are seen. No pericholecystic fluid. The common bile duct measures 10.3 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 13.3 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 11.9 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 10.8 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.OTHER: No significant abnormality noted.
1. Heterogenous echotexture of the liver with cirrhotic morphology. No ascites.2. Intra- and extra- biliary dilation may be indirect sequale of PSC. Recommend further evaluation with MRCP.3. Mild splenomegaly.