61-year-old female presents with acute liver failure. There is a clinical concern for hepatic vein thrombosis. The study is limited due to mechanical ventilation. LIMITED ABDOMENLIVER: The liver measures 15.0 cm. There is increased echogenicity of the liver parenchyma. No masses or intrahepatic biliary dilation.BILIARY TRACT: Evaluation of the gallbladder and biliary tract are limited due to increased echogenicity of the liver parenchyma. The common bile duct measures 6.5 mm.PANCREAS: Evaluation of the pancreas is limited due to overlying bowel gas.SPLEEN: Evaluation of the spleen is limited. RIGHT KIDNEY: The right kidney measures approximately 11.2 cm. The cortex has normal echogenicity. No hydronephrosis or shadowing calculi.LEFT KIDNEY: Evaluation left kidney is limited.OTHER: No significant abnormalities noted.
1. There is no convincing flow appreciated in the portal vein or in the hepatic veins, although it is unclear if this is real or due to technical limitations of the exam.2. Coarse echogenic liver consistent with chronic liver disease/parenchyma dysfunction. No masses or ascites.