25-year-old female with cirrhosis evaluate blood flow and screening for HCC. LIVER:The transplanted liver measures 20.4 cm in length. The liver appears nodular with coarse echogenicity. No intrahepatic ductal dilation. No new worrisome masses are seen. No ascites.GALLBLADDER, BILIARY TRACT: The gallbladder surgically absent. The common bile duct measures 4.6 mm.PANCREAS: Pancreas is not well-visualized due to bowel gas. No significant abnormality noted.SPLEEN: The spleen measures 13.3 cm in length. No significant abnormalities are noted.RIGHT KIDNEY: Right kidney measures 10.3 cm in length. The right kidney was not well visualized but no significant abnormalities are noted.LEFT KIDNEY: The left kidney measures 10.3 cm in length. No significant abnormalities are noted.PORTAL Vein: the portal vein is patent with hepatopetal flow measuring 47.0 cm/s. The left portal vein is patent with hepatopetal flow measuring 23 cm/s. The right portal vein was not well visualized.HEPATIC VEIN: The common hepatic vein is patent with hepatofugal flow measuring 82.4 cm/s.HEPATIC ARTERY: The common hepatic artery is patent with hepatopetal flow and peak systolic velocity of 54 cm/s, and RI of 0.7. The left hepatic artery is patent with hepatopetal flow and peak systolic velocity of 50 cm/s and RI of 0.5. The right hepatic artery is not well-visualized.SPLENIC VEIN: The splenic vein is patent with hepatopetal flow measuring 21.7 cm/s.SPLENIC ARTERY: The splenic artery is patent with peak systolic velocity of 67 cm/s and RI of 0.5.ABDOMINAL AORTA: Not visualized on this study.INFERIOR VENA CAVA: The IVC is patent with hepatofugal flow measuring 104.2 cm/s.
The liver appears coarse and nodular which is concerning for developing cirrhotic morphology. No new worrisome masses are seen. Patent vasculature, as above, with normal directional flow. No ascites is seen.