Patient with newly elevated LFTs and lactic acidosis, recent hyperthermia, assess for parenchymal disease, also do Doppler to look for thrombosis LIVER: Liver measures 12.3 cm with mild coarse echotexture without any focal lesions. No intrahepatic biliary ductal dilatation.Main portal vein demonstrates normal flow directionality and patency. The portal vein peak velocity measures 24.11 cm/s.BILIARY TRACT: Gallbladder appears unremarkable. No evidence of gallstones.PANCREAS: Head and body of pancreas visualized, tail of pancreas is not visualized due to overlying bowel gas. Pancreatic duct is mildly prominent measuring up to 3 mm.SPLEEN: No significant abnormalities noted. Spleen measures 5.2 cm, incompletely imaged spleen.RIGHT KIDNEY: Right kidney measures 8.9 cm and left kidney measures 8.4 cm. Mild increased echogenicity of both kidneys consistent with chronic medical renal disease. No hydronephrosisOTHER: Bilateral pleural effusions noted.
Bilateral pleural effusions.Main portal vein is patent.Mild coarse echotexture of the liver consistent with chronic liver disease/liver dysfunction.Incompletely imaged spleen due to patient positioning and overlying bowel gas.