66 year old female with history of altered mental status and possible biliary obstruction. Evaluate for portal thrombosis in the setting of hyperkalemia. LIVER: The liver measures 17.3 cm, and has no biliary dilatation. Small amount of abdominal ascites. Portal vein is patent, with velocity measured at 14 cm/sec.BILIARY TRACT: Cholelithiasis, without evidence of cholecystitis. No biliary dilatation.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted.RIGHT KIDNEY: Hyperechoic renal parenchyma, which may be seen in medical renal disease. No hydronephrosis or hydroureter. Small right renal cyst, measuring approximately 2.4 cm.OTHER: Pleural effusions and abdominal ascites.
1.Ascites and pleural effusions as above.2.Cholelithiasis, without findings of cholecystitis.3.No biliary dilatation or portal vein thrombosis.