Elevated transaminitis alkaline phosphatase and decreased albumin. LIVER: The liver is normal in morphology, size and echogenicity measuring 18.5 cm in craniocaudal dimension. No focal lesion or intrahepatic biliary ductal dilatation. Normal hepatopedal portal venous blood flow at 27 cm/s. Small amount of perihepatic fluid. BILIARY TRACT: No extrahepatic biliary ductal dilatation with the common duct measuring 2 mm. Partially contracted gallbladder without gallstones, significant wall thickening, pericholecystic fluid or focal tenderness.PANCREAS: The visualized portions of the pancreatic head and body are unremarkable. The remainder is obscured by overlying bowel gas shadowing.SPLEEN: Splenomegaly, measuring 17.8 cm in length without focal abnormality. Small amount of perisplenic fluid.RIGHT KIDNEY: The right kidney measures 12.7 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion. Color Doppler demonstrates hilar blood flow. OTHER: The left kidney measures 13.2 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion. A prominent cortical column is noted. Color Doppler demonstrates hilar blood flow.Small right pleural effusion.
No biliary ductal dilatation or gallbladder pathology. The liver is normal in size without a focal lesion.Splenomegaly and trace abdominopelvic ascites is nonspecific.