right upper quadrant pain LIVER: Liver measures 14.8 cm with diffuse coarse heterogenous echotexture. There is no definite surface nodularity that is noted on today's imaging. No focal lesions noted.Multiple tortuous vessels were observed in the porta hepatis occupying the portal vein bed demonstrating hepatopedal flow suggestive of cavernous transformation of the portal vein.No definite intrahepatic biliary ductal dilatation.BILIARY TRACT: Status post cholecystectomy. Common bile duct measures up to 3 mm.PANCREAS: Head of the pancreas appears unremarkable. Body and tail of pancreas not visualized due to overlying bowel gas.SPLEEN: Spleen measures 8.3 cm with normal echotexture.KIDNEY: Right kidney measures 9.5 and left kidney measures 10.6 cm. No hydronephrosis. Normal echotexture noted. No focal lesions. OTHER: No ascites
Cavernous transformation of the portal vein occupying the portal vein bed at the porta hepatis. Diffuse coarse echotexture of the liver however not completely cirrhotic on ultrasound. Suggest further evaluation with CT liver protocol.