Male; 48 years old. Reason: 48M PMHx lymphoma as a child w/ radiation S/P AVR/MVR for AS/MS, with transaminitis and elevated bilirubin. Eval for biliary etiologies, possible fatty liver or hepatic congestion? History: none LIVER: The liver measures 16.8 cm in length. The liver surface is smooth and the parenchyma is normal in echotexture. There is no worrisome mass and no ascites. The main portal vein is patent and demonstrates a normal direction of flow with a paucity of 20 cm/sec.GALLBLADDER, BILIARY TRACT: The gallbladder is normal in appearance without wall thickening or cholelithiasis. The common duct measures 2 mm. There is no intrahepatic biliary ductal dilatation.PANCREAS: The head and body of the pancreas are normal in appearance. The tail of the pancreas is obscured by overlying bowel gas.SPLEEN: The spleen measures 10 cm in length.RIGHT KIDNEY: The right kidney measures 12.0 cm in length. The renal cortex is normal in echogenicity. There is no renal stone, hydronephrosis or worrisome renal mass.LEFT KIDNEY: The left kidney measures 11.3 cm in length. The renal cortex is normal in echogenicity. There is no renal stone, hydronephrosis or worrisome renal massOTHER: No significant abnormalities noted.
Normal ultrasound of the right upper quadrant. No cholelithiasis or evidence of hepatic steatosis.