45-year-old male patient with elevated transaminase, abdominal pain. Question of portal vein thrombosis, intra-abdominal bleed after islets cell transplant seven days ago. LIVER: The liver is diffusely heterogeneous in echogenicity, similar to the prior study. There is a 9.4 x 5.7 x 8.1 cm heterogeneously hypoechoic lesion within the right hepatic lobe, which is increased in size compared to the CT dated 10/21/2015. No obvious active bleeding is detected by color Doppler criteria. Main portal vein flow is hepatopetal and measures 0.2 m/sec.
Interval increase in size of a heterogeneous right hepatic lobe lesion compared to CT dated 10/21/2015. These findings favor a hematoma over abscess formation.