69-year-old male with jaundice, abnormal overlying. Evaluate hepatic and portal vein. LIMITED ABDOMENLIVER: Increased echogenicity of the liver measuring 17.3 cm in length. No focal hepatic lesions.BILIARY TRACT: Normal echogenicity of the gallbladder. No gallbladder wall thickening. No pericholecystic fluid. Common duct measures 3 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Not well visualized.SPLEEN: Enlarged measuring 16.4 cm in length and is normal echogenicity.RIGHT KIDNEY: Measures 11.8 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Left kidney measures 10.8 cm in length. No hydronephrosis or shadowing calculi are noted. Moderate ascites.
1. Hepatosplenomegaly with increased echogenicity of the liver suggestive of parenchymal dysfunction/fatty infiltration. Patent hepatic inflow and outflow vasculature.2. Moderate ascites. 