32-year-old male patient with abnormal LFTs, history of complete situs inversus. Evaluate for liver abnormalities, organ placement. LIVER: The liver measures 14.7 cm in length and is left-sided in location. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. The gallbladder is within the left upper quadrant. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 5 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 9.2 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 9.7 cm in length. No evidence of hydronephrosis.The spleen measures 12.6 cm in length and is on the right side of the abdomen.The aorta is to the right of the spine. The IVC is to the left of the spine. Catheter tubing is noted within the IVC.
1. Findings compatible with abdominal situs inversus.2. No acute sonographic abnormality.