59-year-old male patient with new diagnosis of cirrhosis and transaminitis. Evaluate for cirrhosis and/or clots in the venous system. LIMITED ABDOMENLIVER: The liver measures 11.1 cm in length, demonstrates increased parenchymal echogenicity, and is nodular in contour. No focal hepatic lesion is identified.BILIARY TRACT: The gallbladder is contracted without definite shadowing gallstone. There is no intra or extrahepatic biliary ductal dilatation. The common duct measures 3 mm in diameter.PANCREAS: The head and proximal body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.SPLEEN: The spleen measures 15.0 cm in length. RIGHT KIDNEY: The right kidney measures 11.3 cm in length and demonstrates increased cortical echogenicity. There is minimal prominence of the right renal collecting system.OTHER: The left kidney measures 11.1 cm in length. No evidence of hydronephrosis.There is mild to moderate ascites.
1. Cirrhotic morphology of the liver with patent hepatic vasculature.2. Mild to moderate ascites.3. Right medical renal disease and minimal pelvocaliectasis.