Assess for ascites, portal vein thrombosis, patient with abdominal pain LIVER: Liver is enlarged in size measures 22.6 cm with a large heterogenous mixed echogenic irregular mass arising from the left lobe of liver, it appears very indistinct and difficult to measure but within these limitations the mass approximately measures 8.3 x 5.2 x 8 cm.Background liver parenchyma appears heterogenous, coarse with mild ascites around it.Portal vein demonstrates very slow flow without typical waveform, underlying portal vein thrombosis cannot be ruled out.Common duct is not dilated.BILIARY TRACT: No intrahepatic or extra hepatic biliary ductal dilatation.Gallbladder is distended with sludge and a few stones within it. Gallbladder wall is not thickened.PANCREAS: Not significantly visualized due to overlying bowel gas.SPLEEN: Mild splenomegaly noted, spleen measures 13.5 cm.RIGHT KIDNEY: Right kidney measures 11.8 cm and left kidney measures 11.9 cm. No evidence of hydronephrosis or focal lesions. OTHER: Ascites noted.
Heterogenous large 8.3 cm mass arising from the left lobe of liver with a background of coarse heterogenous liver.Slow flow within the portal vein without difficulty form, underlying portal vein thrombosis cannot be ruled out.Mild splenomegaly and ascites