Female 55 years old Reason: eval liver morphology, r/o thrombosis History: decompensated cirrhosis vs acute liver failure LIMITED ABDOMENLIVER: Nodular and cirrhotic contour of the liver. No focal masses identified. Liver measures 16.8 cm in length.BILIARY TRACT: No intra or extra hepatic biliary ductal dilatation. No evidence of acute gallbladder inflammation. Bile duct is normal measuring 5 mm. Gallstone is present within the gallbladder measuring 2.8 x 2.8 x 2.9 cm.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 is not well-visualized. KIDNEYS: Kidneys are not well-visualized secondary to body habitus and ascites. Left kidney measures 10.7 cm. Right kidney has normal echogenicity measuring 9.8 cm.OTHER: Mild to moderate ascites
1.Cirrhotic liver morphology without mass. Portal vein is patent with hepatopetal flow, however the flow is sluggish and the caliber is small, which can be seen when a significant portosystemic shunt is present . Mild/moderate ascites2.Cholelithiasis.