46-year-old male with autoimmune pancreatitis presents for follow-up. LIVER:Measures 16.2 cm. Increased, coarse echogenicity. No ascites, focal mass, or intrahepatic biliary dilation. The main portal vein is patent with hepatopedal flow measured at 27.1 cm/s.GALLBLADDER, BILIARY TRACT: The gallbladder is absent.PANCREAS: The pancreas is absent.SPLEEN: The spleen is absent.KIDNEYS: Right kidney measures 10.4 cm. Left kidney measures 11.9 cm. Unremarkable echogenicity. No shadowing calculi, hydronephrosis, or focal mass. OTHER: No significant abnormality noted.
1. Increased, coarse echogenicity of the liver consistent with chronic liver disease/parenchymal dysfunction. No mass or ascites.2. Patent portal vein with hepatopedal flow.3. Surgical changes of a splenectomy, pancreatectomy, and a cholecystectomy.