Female 67 years old Reason: eval for portal vein thrombosis History: hx of HCC, hx of portal vein thrombosis at OSH, hemoglobin drop LIVER: Liver echogenicity is coarse. Liver measures 15.5 cm. There is an ill-defined heterogeneous echotexture mass in the right lobe of the liver extending into the hepatic hilum. There is thrombus in the main portal vein. Posterior branch of the right portal vein could not be visualized. Left portal vein is patent.GALLBLADDER, BILIARY TRACT: Cholelithiasis. Gallbladder wall is thickened. No evidence of intra or extrahepatic biliary dilatation. Common bile duct measures 5.PANCREAS: Not well visualized due to overlying bowel gas.RIGHT KIDNEY: Echogenic kidney. No evidence of hydronephrosis.OTHER: Small amount of ascites. Spleen measures 10.9 cm.
Ill-defined hypoechoic heterogeneous right lobe mass with portal vein thrombosis. Contrast-enhanced MRI is recommended for further evaluation of this mass and thrombus. Small amount of ascites.