65-year-old man status post liver transplant evaluate for recurrence cirrhosis. LIMITED ABDOMENLIVER: The liver measures 18.7 cm. This is enlarged however stable from prior ultrasound. There is coarse increased echogenicity within the liver. Additionally there is a nodular appearance of liver which was not notable on prior ultrasound from 2015. This is concerning for cirrhotic morphology. There is no intrahepatic ductal dilation. No worrisome mass are noted within the liver.BILIARY TRACT: The common duct measures 0.5 cm.PANCREAS: No significant abnormalities noted.SPLEEN: The spleen measures 14 cm in length, this is slightly enlarged. No significant abnormalities are noted. RIGHT KIDNEY: The right kidney measures 10.3 cm. This cyst is present in the right kidney measures 2.1 cm x 2.0 cm not present on prior exam. No worrisome mass, hydronephrosis, or stones are present.LEFT KIDNEY: The left kidney measures 11.3 cm in length. The cortex is of normal echogenicity. There is no mass, hydronephrosis or stones present.
1. There is new cirrhotic morphology present on this exam, not seen on prior ultrasound in 2015. No worrisome masses or intrahepatic ductal dilation are seen within the liver.2. Hepatomegaly is stable from prior ultrasound.3. Portal venous system, hepatic arteries, hepatic veins, and IVC are all patent with appropriate flow.4. New 2 x 2 cyst is located in the right kidney.