Female 51 years old; Reason: eval for cholelithiasis, biliary dilation, ascites History: AMS, hx of etoh cirrhosis, elevated bili and lipase LIVER: The liver measures 21.60 cm in length. There is coarse and heterogeneous echogenicity of the liver parenchyma. No focal hepatic lesions. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow. GALLBLADDER/BILIARY TRACT: The gallbladder is surgically absent. The common bile duct measures 0.24 cm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 17.50 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 12.6 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 13.3 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.OTHER: No significant abnormality noted.
1. No sonographic signs of cholecystitis.2. Marked splenomegaly of uncertain etiology but perhaps could be sequelae of portal hypertension.