Female 73 years old Reason: determine if cirrhosis History: ELEVATED INR LIVER: 18.5 cm in length. Minimally coarse texture. No focal masses.Flow in the portal vein is hepatopedal peak velocity 40 cm/sGALLBLADDER, BILIARY TRACT: Sludge in gallbladder with no evidence of gallstones. No Wall thickening or pericholecystic fluid.No intrahepatic or extrahepatic biliary dilatation. Common bile duct 0.2 cm in diameter.PANCREAS: Poorly visualized.RIGHT KIDNEY: Small 8.4 cm in length. No hydronephrosis. Mildly echogenicOTHER: Left kidney 7.7 cm in length. No hydronephrosis.Spleen 9.8 cm in length.No evidence of ascites.
Small kidneys consistent with chronic medical renal disease. No definite evidence of cirrhotic morphology. Sludge in gallbladder without evidence of biliary dilatation.