Precardiac transplant evaluation. LIVER:The liver parenchyma is coarse and increased in echogenicity compatible with stated history of cirrhosis. It measures 14.4 cm in craniocaudal dimension. There is a multilobulated hypoechoic focus measuring approximately 3 cm in the right liver lobe. Additional hypoechoic round focus near the gallbladder fossa measuring 10 x 6 x 9 mm.Normal hepatopedal portal venous blood flow at 0.3 m/s.No intrahepatic biliary ductal dilatation.GALLBLADDER, BILIARY TRACT: Normally distended gallbladder without wall thickening, pericholecystic fluid or focal tenderness. No extrahepatic biliary ductal dilatation with the common duct measuring 5 mm in short axis.PANCREAS: The visualized portions of the pancreatic head are unremarkable.SPLEEN: The spleen is enlarged measuring 17 cm in length.KIDNEYS: The right kidney measures 11.7 cm in length without hydronephrosis or shadowing nephrolithiasis. The left kidney measures 12 cm in length without hydronephrosis or shadowing calculus.ABDOMINAL AORTA: The proximal abdominal aorta is obscured by overlying bowel gas. The mid abdominal aorta measures 3.1 cm in AP dimension. The distal abdominal aorta measures 1.9 cm in AP dimension. The right and left iliac arteries measure 1.3 and 1.4 cm in AP dimension respectively.INFERIOR VENA CAVA: The visualized IVC is patent.OTHER: Partially contracted urinary bladder with free pelvic fluid. Small volume perihepatic ascites.
1. Coarse echogenic liver parenchyma compatible with stated history of chronic liver disease/cirrhosis. Splenomegaly.2. Incompletely characterized liver lesions. Dedicated liver CT or MRI with and without contrast contrast is recommended for further characterization.3. Small volume ascites.