26-year-old male with elevated bilirubin and alkaline phosphatase. LIVER: Nodular contour of the liver with coarse echotexture measuring 14.5 cm in length. No focal hepatic lesions. Portal vein is patent with appropriate directional flow; peak velocity measuring 0.3 m/sec.GALLBLADDER, BILIARY TRACT: Gallbladder is not visualized. Mild prominence of the common bile duct measuring 6 mm in caliber. No intrahepatic biliary ductal dilatation.PANCREAS: Visualized portions of the pancreas are unremarkable.RIGHT KIDNEY: Normal echogenicity of the right kidney measuring 10.8 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Normal echogenicity of the spleen measuring 23.1 cm in length.Normal echogenicity of the left kidney measures 12.5 cm in length.Bilateral pleural effusions.
1. Cirrhotic liver morphology. Recommend CT for further evaluation. 2. Mild prominence of the common bile duct. No intrahepatic biliary ductal dilatation. No choledocholithiasis. 3. Splenomegaly. 4. Bilateral pleural effusions. 