42-year-old male patient with NASH cirrhosis. Evaluate for malignancy, portal hypertension. LIVER: The liver measures 23.5 cm in length. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. Sonographic Murphy's sign is negative. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 2 mm in diameter.PANCREAS: The pancreas is not well visualized on this examination. RIGHT KIDNEY: The right kidney measures 13.7 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 14.6 cm in length. No evidence of hydronephrosis.The spleen measures 18.8 cm in length.
1. Hepatosplenomegaly without focal hepatic lesion.2. Patent portal vein.