53 years old, Male, Reason: cirrhosis? in 53M with AML and new diagnosis of hep C; bedside US if possible History: hep C active LIVER: The liver is mildly enlarged measuring 18.4 cm in length. The hepatic parenchyma is normal in echogenicity. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.3 m/s. No definite nodularity of the liver contours to suggest cirrhosis.BILIARY TRACT: There is gallbladder sludge without evidence of gallbladder wall thickening or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 11.6 cm in length. RIGHT KIDNEY: Kidney measures 11.7 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 12.8 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.OTHER: No evidence of ascites.
1.No nodularity of the liver to suggest cirrhosis. No focal hepatic lesions.2.Gallbladder sludge without evidence of cholecystitis.