49 year old female patient with significant ascites status post paracentesis. Heart transplant evaluation. LIVER:The liver measures 16.6 cm in length. No focal hepatic lesion is identified. Main portal vein is patent with hepatopetal flow.GALLBLADDER, BILIARY TRACT: The gallbladder is absent. There is no intra or extrahepatic biliary ductal dilatation. The common bile duct measures 3 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.SPLEEN: The spleen is enlarged measuring approximately 15.2 cm in length.KIDNEYS: The right kidney measures 9.5 cm in length and left kidney measures 10.8 cm in length. No evidence of hydronephrosis. ABDOMINAL AORTA: The proximal aorta measures approximately 1.6 x 1.5 cm in diameter and the mid aorta measures approximately 1.6 x 1.9 cm in diameter. The distal abdominal aorta and iliac vasculature are not visualized secondary to overlying bowel gas.INFERIOR VENA CAVA: No significant abnormality noted.OTHER: There are bilateral pleural effusions and moderate ascites.
1. Moderate ascites and bilateral pleural effusions.2. Splenomegaly. 