Female; 41 years old. Reason: S/p stem cell transplant, now w/ sharp rise in LFTs and abdominal pain, concern for cholecystitis, gall stones, pancreatitis History: Abdominal pain LIVER: The liver measures 17.5 cm in length. No focal hepatic lesion is identified. The main portal vein is patent and demonstrates hepatopetal flow with a peak velocity of 0.4 m/sec.BILIARY TRACT: The gallbladder is mildly distended. No gallstones are identified. There is no gall bladder wall thickening or pericholecystic fluid. The common duct is prominent measuring 7 mm in diameter. There is no intrahepatic biliary ductal dilatation.PANCREAS: The head of the pancreas is unremarkable. The body and tail are obscured by overlying bowel gas.SPLEEN: The spleen measures 14.5 cm in length.KIDNEY: The right kidney measures 12.0 cm in length, the left kidney measures 13.9 cm. The renal parenchyma is normal in echogenicity bilaterally. There is no hydronephrosis or shadowing renal stone. OTHER: No significant abnormalities noted.
1. Borderline hepatomegly. 2. Splenomegaly..3.Mildly distended gallbladder and prominent common bile duct but no gallstones, evidence of acute cholecystitis, or intrahepatic biliary ductal dilatation.