53-year-old female post islet cell transplant. Evaluate patency of the portal vein. LIVER: Liver is highly and heterogeneously echogenic as seen on the prior exam. There is again noted a wedge shaped area of increased echogenicity in the right lobe measuring approximately 1.1 x 3.2 x 2.3 cm, unchanged from the prior study. This may represent an area of scarring. Foci of shadowing and ring down artifact may be due to pneumobilia. Some of this was present on the prior exam. Please correlate with history. Limited color and spectral Doppler demonstrates patency and appropriate flow direction the main portal vein.BILIARY TRACT: Gallbladder contains small amount of sludge. No shadowing stones, wall thickening or pericholecystic fluid. Possible pneumobilia.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. OTHER: No significant abnormalities noted.
Patent main portal vein.Question pneumobilia within the liver which was present on prior exam.Stable wedged shaped focus of increased echogenicity in the right lobe of the liver.