Female 48 years old Reason: Please assess for cirrhosis and r/o portal venous clot History: acute hepatitis NYD LIVER: Coarse appearance of the liver with increased echogenicity. No focal mass. Main portal vein is patent with normal directional flow and a peak velocity of 23.6 cm/s. No thrombus.BILIARY TRACT: No intra or extrahepatic biliary ductal dilatation. Common bile duct measures 4 mm.PANCREAS: Head of the pancreas is normal in appearance without pancreatic ductal dilatation. Body and tail of the pancreas are obscured by overlying bowel gas.SPLEEN: Spleen measures 8.5 cm and is normal in appearance.KIDNEYS: Normal cortical medullary differentiation. No hydronephrosis, shadowing calculi, or mass. Right kidney measures 9.5 cm. Left kidney measures 11.0 cm. OTHER: No significant abnormalities noted.
Coarse appearance of the liver without focal mass. Main portal vein is patent and has normal directional flow. No portal venous thrombus as clinically questioned.