Female 57 years old Reason: r/o liver cirrhosis History: shortness of breath ; abdominal distension LIVER: The liver is coarse with a mildly nodular appearance of the capsule which is suggestive of early mild cirrhosis. No focal hepatic mass lesion. Main portal vein is patent with normal directional flow in the peak velocity of 28.6 cm/s.BILIARY TRACT: No intra or extrahepatic biliary ductal dilatation. The gallbladder is normal in appearance. No gallstones. Common bile duct measures 4 mm.PANCREAS: Head of the pancreas is normal in appearance without pancreatic ductal dilatation. Body and tail of the pancreas are obscured by overlying bowel gas.SPLEEN: Spleen is normal in appearance measuring 6.3 cm.KIDNEYS: Right kidney measures 10.4 cm. Left kidney measures 9.2 cm. Normal cortical medullary differentiation. No hydronephrosis, shadowing calculi, or mass.OTHER: No ascites.
Mildly nodular contour of the liver suggestive of early mild cirrhosis.