68-year-old male patient with decreased BP with low SVR. LIVER: The liver measures 19.7 cm in length. No focal hepatic lesion is identified. Main portal vein flow is pulsatile and hepatopetal measuring 0.3 m/sec. The hepatic veins and IVC are prominent.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 2 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 8.5 cm in length and demonstrates increased cortical echogenicity. No evidence of hydronephrosis. OTHER: The left kidney measures 11.2 cm in length and demonstrates increased cortical echogenicity. No evidence of hydronephrosis.The spleen measures 12.4 cm in length.No ascites.
1. Hepatomegaly with prominent hepatic veins/IVC and pulsatile portal venous flow, which is likely secondary to right-sided heart failure.2. Medical renal disease.3. No ascites. 