61-year-old male with CHF, atrial fibrillation/Cardiac thrombus and newly diagnosed ALL complaining of abdominal tenderness with LFT abnormalities. Evaluate for biliary obstruction and portal vein abnormalities. Limited exam as patient could be hold breath or lie in decubitus position. LIVER: Normal echogenicity of the liver measuring 12.8 cm in length. No focal hepatic lesions. Main portal vein is patent with appropriate directional flow; peak velocity measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Gallbladder is normal in echogenicity. No gallbladder wall thickening. No pericholecystic fluid. Common duct measures 2 mm in caliber. No intra-or extra hepatic ductal dilatation.PANCREAS: Not well-visualized due to overlying bowel gas.RIGHT KIDNEY: Increased in echogenicity measuring 11.1 cm in length. No hydronephrosis or shadowing calculi are noted. OTHER: Increased echogenicity of the left kidney measuring 11.7 cm in length. No hydronephrosis or shadowing calculi are noted. Normal echogenicity of the spleen measuring 10.3 cm in length.
1. Increased echogenicity of the kidneys suggestive of parenchymal dysfunction. No obstruction. 2. No evidence of biliary obstruction. Portal vein is patent. 