25-year-old male LIVER:Measures 25.1 cm. Mildly coarse echotexture. No focal mass, ascites, or intrahepatic biliary dilation. There is prominence of the hepatic veins and inferior vena cava without evidence of thrombus. There is a pulsatile waveform to the portal vein with hepatopedal flow.GALLBLADDER, BILIARY TRACT: The gallbladder is nondistended with an anechoic lumen. Wall measures 0.2 cm. No pericholecystic fluid, stones, or sludge. Common bile duct measures 0.4 centers. Negative sonographic Murphy's sign.PANCREAS: Evaluation the pancreas is limited due to overlying bowel gas.SPLEEN: Measures 11.6 cm without sonographic abnormalities.KIDNEYS: Right kidney measures 13.7 cm. Left kidney measures 12.6 cm. Unremarkable echogenicity. No hydronephrosis, shadowing calculi, or focal mass.OTHER: No significant abnormality noted.
1. Prominent inferior vena cava and hepatic veins as well as pulsatile portal vein consistent with congestive heart failure. No evidence of thrombus.2. Hepatomegaly.