Reason: chronic itching in patient with chronically elevated Alk Phos LIVER: The liver measures 13.6 cm in length. Normal hepatic parenchymal echogenicity and echotexture. The portal vein is patent with normal hepatopedal portal flow, peak velocity 28 cm/s.GALLBLADDER, BILIARY TRACT: Equivocal to mildly dilated intrahepatic biliary ducts. No extrahepatic biliary ductal dilatation. The common bile duct measures 0.2 cm. Status post cholecystectomy.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: The right kidney measures 10.4 cm in length. No hydronephrosis or shadowing stones.LEFT KIDNEY: The left kidney measures 12.0 cm in length. No hydronephrosis or shadowing stones.OTHER: The spleen measures 10.2 cm in length.
Mild intrahepatic biliary ductal prominence, please correlate with bilirubin level. No extrahepatic biliary ductal dilatation.