58-year-old female with elevated ammonia. Evaluate for hepatic abnormality. LIVER: Overall hepatic size is upper normal to mildly enlarged. The echotexture is within normal limits. No focal hepatic abnormality. Limited color and spectral Doppler demonstrates patency and appropriate flow direction in the main portal vein.BILIARY TRACT: Visualized portions of the intra and extrahepatic biliary tract are normal in caliber. Gallbladder appears unremarkable without cholelithiasis, wall thickening or pericholecystic fluid.PANCREAS: No significant abnormalities noted.SPLEEN: Mild splenomegaly.RIGHT KIDNEY: No significant abnormalities noted. OTHER: No significant abnormalities noted.
Borderline hepatomegaly. Splenomegaly.