Female 55 years old Reason: assess liver History: elevated lft, sickle cell crisis, elevated creatnine LIVER:The liver is coarse indicating fatty infiltration. The liver measures 17.6 cm. Main portal vein is patent with normal directional flow with a peak velocity of 26.5. GALLBLADDER, BILIARY TRACT: Common bile duct measures 6 mm. No intra or extra hepatic biliary ductal dilatation. Patient is status post cholecystectomy. PANCREAS: Tail the pancreas is obscured by overlying bowel gas. The pancreas is normal in appearance.SPLEEN: Spleen measures 7.7 cm and is not well-visualized.KIDNEYS: Right kidney measures 8.5 cm. No shadowing calculi or hydronephrosis bilaterally. Left kidney is difficult to visualize.ABDOMINAL AORTA: The abdominal aorta proximally measures 2.8 cm x 3.2 cm. The mid abdominal aorta measures 2.0 cm x 2.0 cm.INFERIOR VENA CAVA: There is an age-indeterminate nonocclusive thrombus in the infrahepatic, suprarenal IVC.OTHER: No ascites
1.Age indeterminate nonocclusive thrombus in the infrahepatic, suprarenal IVC. Discussed findings with ordering physician Dr. Chrapek at 3:10 PM on 9/15/2016.2.Fatty liver.