Male 34 years old; Reason: cholestatic pattern on LFTs, pls assess for evidence of biliary obstruction History: biliary obstruction? LIVER: The liver measures 19.6 cm in length. Numerous masses are seen all throughout the liver as demonstrated on prior CT. The main portal vein is patent with normal hepatopetal flow measured at 38.9 cm/s. GALLBLADDER/BILIARY TRACT: Evaluation of gallbladder is limited due to infiltration of liver metastasis. The common bile duct measures 2.4 mm in diameter. No extrahepatic or intrahepatic ductal dilation is seen.PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen was not able to be visualized on this study.RIGHT KIDNEY: The right kidney measures 13.7 cm in length. The kidney appears collapsed and elongated, pushed to the periphery by the enlarged liver. The cortex has normal echogenicity. Mild hydronephrosis is seen but no stones, or worrisome masses.LEFT KIDNEY: The left kidney was not able to be visualized on this study.
1. As visualized on prior CT, the liver is extensively infiltrated with metastatic disease. No intrahepatic or extrahepatic ductal dilation is seen.2. The gallbladder is not well-visualized due to infiltration of the liver with metastasis.3. Mild hydronephrosis of the right kidney. Left is not well visualized. 