85-year-old female. Evaluate for portal vein thrombosis. Cirrhosis progression. Renal status. Acute on chronic renal failure. Decompensated liver. LIVER: Nodular contour of the liver with coarsened echotexture consistent with cirrhosis. The liver is 15.7 cm in length. No suspicious focal mass. Hepatoportal venous flow with a normal velocity.GALLBLADDER, BILIARY TRACT: No biliary ductal dilatation. The common duct is 4 mm, within normal limits. Dense shadowing in the gallbladder fossa, likely due to gallbladder packed with stones.PANCREAS: VIsualized portions of the pancreatic head and neck are normal in echogenicity. Remainder of pancreas is obscured by bowel gas.SPLEEN: No focal lesion. Spleen is 12.7 cm in length.KIDNEYS: Right kidney is 10.7 cm in length and contains a cyst with a thin septation. No hydronephrosis. Left kidney is surgically resected.ABDOMINAL AORTA: Normal in caliber measuring up to 2.6 cm in the proximal aorta and 2.3 cm in the mid aortaINFERIOR VENA CAVA: Patent.OTHER: Small amount of abdominal ascites.
Small amount of ascites. Cirrhosis. Patent portal vein. No hydronephrosis. Cholelithiasis.