33-year-old female with generalized abdominal pain, right upper quadrant pain and elevated white count. Sickle cell. LIVER: Liver is again noted to be enlarged, measuring 21 cm in length. There is no focal hepatic abnormality. Limited color and spectral Doppler demonstrates patency and appropriate flow direction in the main portal veinGALLBLADDER, BILIARY TRACT: Patient has had a cholecystectomy. Visualized portions of the intra and extra hepatic biliary tract are normal in caliber.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted.OTHER: Very small spleen.
Hepatomegaly as previously noted. No abnormalities to explain patient's pain.