Decompensated cirrhosis LIVER: Diffuse coarse echotexture of the liver which measures 18.6 cm with nodular surface suggestive of cirrhotic morphology. Portal vein demonstrates reversal of flow (hepatofugal) within it. If clinically indicated, liver Doppler examination can be performed to evaluate the hepatic artery and portosystemic shunts.Minimal ascites noted.BILIARY TRACT: No intrahepatic biliary ductal dilatation. Gallbladder is distended with mild gallbladder wall thickening measuring up to 4 mm which could be due to adjacent ascites. Gallbladder sludge noted. No definite evidence of gallstones. Sonographic Murphy sign is negative.PANCREAS: Not visualized due to overlying bowel gas.SPLEEN: Spleen measures 21 cm, increased in size without any focal lesions.RIGHT KIDNEY: Right kidney measures 13.2 cm and left kidney measures 12 cm with normal echotexture. No evidence of hydronephrosis. No renal stones. OTHER: Ascites noted. Right pleural effusion noted.
1. Diffuse cirrhotic morphology of the liver without any focal lesions. Hepatofugal/reversal of flow in the portal vein noted. Distended gallbladder with sludge and gallbladder wall thickening most likely due to adjacent ascites rather than cholecystitis.2. Moderate splenomegaly with ascites.3. Right pleural effusion.