31-year-old female with ascites on CT. Evaluate for cirrhosis. LIVER: Liver is normal in echotexture and is upper limits of normal in size. There is not gross cirrhotic morphology. Limited color and spectral Doppler demonstrates patency and appropriate flow direction in the main portal vein with normal velocity. No focal mass.BILIARY TRACT: Nondependent 4 mm echogenic focus in the gallbladder likely small polyp. No shadowing gallstones.PANCREAS: Not adequately visualized due to bowel gas.SPLEEN: Normal in size.RIGHT KIDNEY: Poorly visualized and highly atrophic. OTHER: Left kidney poorly visualized and highly atrophic.Extensive ascites throughout the abdomen and pelvis. This contains mildly echogenic debris diffusely. This may be seen with ascites complicated by hemorrhage, infection or early may be due to complex fluid associated with mucinous neoplasm.
No gross morphology of the liver to suggest cirrhosis.Extensive, complex ascites, presumably due to hemorrhage.Atrophic kidneys without hydronephrosis.Small gallbladder polyp.