68-year-old male patient with ALL, LFT changes. Evaluate for obstruction and portal venous thrombosis. LIVER: The liver measures 20.2 cm in length and demonstrates increased, coarsened parenchymal echogenicity. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 5 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 13.8 cm in length. No evidence of hydronephrosis. Multiple cysts are again noted with an upper pole cyst measuring 3.6 x 4.0 x 3.6 cm, previously 4.6 x 4.5 x 3.7 cm.OTHER: The left kidney measures 11.9 cm in length. No evidence of hydronephrosis.The spleen measures 17.8 cm in length.There is mild ascites.A stone is noted within the decompressed bladder.Ultrasound performed in the region of the patient's palpable abnormality correlates to a 2.5 cm benign morphology lymph node.
1. Hepatosplenomegaly and increased hepatic parenchymal echogenicity can be seen with hepatic steatosis/hepatic parenchymal dysfunction.2. Mild ascites.3. Renal cysts and bladder calculus.