54-year-old male patient with new ascites fluid. Question of portal vein thrombosis. LIMITED ABDOMENLIVER: The liver measures 14.3 cm in length, is coarsened in echotexture, and nodular in contour. BILIARY TRACT: There is a single shadowing gallstone. The gallbladder wall measures 9 mm in thickness which is nonspecific in the setting of ascites. The common duct measures 4 mm in diameter.PANCREAS: The pancreas is not visualized on this examination.SPLEEN: The spleen measures 12.8 cm in length. RIGHT KIDNEY: The right kidney measures 10.1 cm in length. No evidence of hydronephrosis.OTHER: There is moderate to marked ascites.
1. Questioned partial thrombosis of the main portal vein with poor visualization of the right and left portal veins.2. Patent hepatic arteries and veins.3. Cirrhotic morphology of the liver with moderate to marked ascites.Findings discussed with ordering service prior to dictation.