Reason: check liver size, rule out cirrhosis History: portal hypertension, gastropathy and anemia, elevated AST LIVER: The liver measures 11.4 cm in length. Limited evaluation due to poor windows, however hepatic parenchyma appears coarse and echogenic with a peripheral nodular contour. The portal vein is patent with normal directional hepatopedal portal venous blood flow, peak velocity 19.7 cm/s. No focal masses.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted. The common bile duct measures 0.7 cm, within normal limits for age. No biliary ductal dilatation.PANCREAS: Obscured by bowel gas.RIGHT KIDNEY: The right kidney measures 10.6 cm in length. No hydronephrosis or shadowing stones.LEFT KIDNEY: The left kidney measures 10.6 cm in length. No hydronephrosis or shadowing stones.OTHER: Moderate volume ascites. The spleen measures 13.2 cm in length. The bladder is poorly distended, limiting evaluation.
1. Findings consistent with hepatic steatosis and suspicious for cirrhosis. No biliary ductal dilatation.2. Moderate volume ascites.