Reason: 44 y/o MDS, with increase ALK ,eval biliary tree, any cirrhosis? LIVER: The liver measures 18.5 cm in length, enlarged. Normal hepatic parenchymal echogenicity and echotexture. The portal vein is patent with normal directional hepatopedal flow, peak velocity 35.4 cm/s. No focal mass.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted. The gallbladder wall measures 1.9 mm. The common bile duct measures 3.2 mm. No intrahepatic or extrahepatic biliary ductal dilatation.PANCREAS: No significant abnormalities noted.KIDNEYS: The right kidney measures 12.0 cm in length. The left kidney measures 11.6 cm in length. Unremarkable renal parenchyma. No shadowing stones or hydronephrosis.OTHER: The spleen measures 15.0 cm in length, enlarged. No ascites.
1. Hepatosplenomegaly. No specific evidence of cirrhosis or biliary ductal dilatation.