66-year-old female with history of hepatitis C. Evaluate for portal hypertension. LIVER:The liver measures 13.4 cm. There is increased, coarse echogenicity and nodular contour of the liver. The liver has a cirrhotic morphology. The main portal vein is patent with normal hepatopedal flow with velocity of 17 cm/s. No ascites or intrahepatic biliary dilation.GALLBLADDER, BILIARY TRACT: The gallbladder wall measures 0.2 cm and the common duct measures 0.4 cm. The gallbladder is nondistended. No evidence of stones, sludge, or pericholecystic fluid.PANCREAS: Evaluation the pancreas limited by overlying bowel gas.SPLEEN: The spleen measures 14.8 cm without sonographic abnormalities.KIDNEYS: The right kidney measures 12.2 cm. No hydronephrosis, shadowing calculus or mass.The left kidney measures 11.7 cm. No focal mass or shadowing calculi. Anechoic area arising from the left kidney represents an enlarged extrarenal pelvis with associated mild prominence of the intrarenal collecting systemOTHER: No significant abnormality noted.
1. Increased echogenicity and nodular contour of liver consistent with cirrhosis. The main portal vein is patent with normal hepatopedal flow as described above2. Splenomegaly.