29-year-old female patient with continued trend in bilirubin. Assess for acalculous cholecystitis, SOS, and patency of liver vasculature. LIMITED ABDOMENLIVER: The liver measures 18.2 cm in length and demonstrates increased parenchymal echogenicity. No focal hepatic lesion is identified.BILIARY TRACT: The gallbladder is mildly contracted and contains sludge. No intra or extrahepatic biliary ductal dilatation is identified. The common duct measures 2 mm in diameter.PANCREAS: The pancreas is poorly visualized on this examination.SPLEEN: The spleen measures 12.2 cm in length. RIGHT KIDNEY: The right kidney measures 12.6 cm in length. No evidence of hydronephrosis.OTHER: The left kidney measures 11.7 cm in length. No evidence of hydronephrosis.There is ascites.
1. Non-visualization of the right portal vein. Otherwise, patent hepatic vasculature.2. Increased hepatic echogenicity which can be seen with hepatic parenchymal dysfunction.3. Biliary sludge without specific sonographic evidence of acute cholecystitis.4. Ascites.