57-year-old female with a history of stem cell transplant. Now with transaminitis. LIVER: The liver is minimally coarsened. It measures a 18.8 cm in craniocaudal dimension. No focal hepatic lesion or intrahepatic ductal dilatation is evident. There is normal hepatopetal portal venous blood flow at 30 cm/sec.BILIARY TRACT: There is a normally distended gallbladder with a 4-mm non-shadowing nondependent focus which may represent a small adherent gallstone or polyp. No extrahepatic biliary ductal dilatation with the common bile duct measuring 4 mm at the pancreatic head.PANCREAS: The visualized pancreatic head and body are normal.SPLEEN: Marked splenomegaly, measuring 19 cm in length.RIGHT KIDNEY: The right kidney measures 9.5 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident. Color Doppler demonstrates hilar blood flow. OTHER: The left kidney measures 10.2 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident.
1. Coarse echogenic liver echotexture suggests chronic liver disease/parenchymal dysfunction without a discrete mass or biliary ductal dilatation.2. Small adherent gallstone versus subcentimeter gallbladder polyp.3. Marked splenomegaly.