64-year-old female with a history of alcoholism. Evaluate for liver lesions, vessel patency, cirrhosis. LIMITED ABDOMENLIVER: Measures 12.3 cm. Nodular contour. Increased, course, heterogenous echogenicity. No focal mass, ascites, or intrahepatic biliary dilation.BILIARY TRACT: Gallbladder is nondistended with an anechoic lumen. Gallbladder wall measures approximately 2.4 mm. No stones, sludge, or pericholecystic fluid. Common bile duct measures approximately 0.4 cm.PANCREAS: Evaluation of the pancreas is limited due to overlying bowel gas.SPLEEN: Measures 14.8 cm. KIDNEYS: Right kidney measures 10.8 cm. Left kidney measures 11.6 cm. Normal echogenicity. No focal mass, hydronephrosis, or shadowing calculi.OTHER: No significant abnormalities noted.
1. Portal vein thrombosis is suspected.2. No ascites which could be due to previously seen splenorenal shunt on a prior CT.3. Nodular contour of liver consistent with cirrhotic morphology. No focal mass.