Female 51 years old Reason: assess right upper quadrant for abnormality History: elevated alk phos LIVER: Liver measures 17.5 cm. The liver is coarse and nodular, concerning for cirrhosis. Main portal vein is patent with normal directional flow and a peak velocity of 26 cm/s.BILIARY TRACT: Patient is postcholecystectomy. Common bile duct measures 4 mm. No intra or extra hepatic biliary ductal dilatation.PANCREAS: Pancreas is not well-visualized. Spleen is normal in appearance measuring 11.8 cm.SPLEEN: No significant abnormalities noted.KIDNEYS: Right kidney is echogenic measuring 7.9 cm in length. Left kidney measures 7.5 cm. No hydronephrosis.OTHER: Large volume ascites.
1.Coarse nodular liver, compatible with cirrhosis. No focal hepatic lesion or biliary abnormality.2.Large volume ascites. 