Reason: ? liver pathology, ascites History: ascites, sob LIVER: Possible micronodular contour may be seen in cirrhosis. The liver measures 16.8 cm in length. The portal vein is patent. Normal portal venous hepatopedal blood flow is noted, 18.6 cm/second.GALLBLADDER, BILIARY TRACT: Distended gallbladder with intraluminal sludge. The gallbladder wall measures 0.2 cm. The common hepatic duct measures 0.5 cm. The common bile duct measures 0.6 cm. No intrahepatic or extrahepatic biliary ductal dilatation. PANCREAS: Prominent pancreatic duct without dilatation.RIGHT KIDNEY: The right kidney measures 7.9 cm. Large anechoic right renal cyst measures 5.6 x 6.0 x 6.0 cm.LEFT KIDNEY: The left kidney measures 7.0 cm in length. Anechoic left renal cyst measures 2.8 x 4.0 x 2.5 cm.SPLEEN: The spleen measures 9.2 cm in length.OTHER: Large volume of ascites.
1. Large volume ascites and possible micronodular contour of the liver may be seen in cirrhosis.2. Distended gallbladder with intraluminal sludge.