18-year-old male patient with heart transplant with a N/V/D. Evaluate for abscess, source of infection. LIVER: The liver measures 18.0 cm in length. No focal hepatic lesion is identified. Main portal vein flow is pulsatile, hepatopetal, and measures 0.3 m/sec. The hepatic veins are prominent.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 2 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 10.2 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 10.2 cm in length. No evidence of hydronephrosis.The spleen measures 13.3 cm in length. A 0.7 x 0.9 x 0.6 cm wedge-shaped subcapsular hypoechoic area within the spleen likely represents an evolving infarct.
1. No focal hepatic lesion or cholelithiasis.2. Wedge-shaped area of hypoattenuation in the spleen likely represents an evolving infarct.