Reason: concern for congestive hepatopathy, rule out portal vein thrombosis History: pulmonary hypertension of unclear cause LIVER: The liver measures 18.7 cm in length. The liver parenchymal echotexture is coarse. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating pulsatile hepatopetal flow with a velocity of 0.29 m/s. No filling defects are identified within the main portal vein or visualized branches. The hepatic veins appear somewhat prominent.BILIARY TRACT: No cholelithiasis. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 6 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: Not visualized.RIGHT KIDNEY: Kidney measures 14.9 cm in length. Normal echotexture. No hydronephrosis. Simple cyst.LEFT KIDNEY: Kidney measures 13.7 cm in length. Normal echotexture. No hydronephrosis.OTHER: Right pleural effusion.
1.Portal vein appears patent without evidence of thrombus.2.Pulsatile portal vein and prominent hepatic veins raise question of right-sided heart failure.