Reason: Dopplers to assess portal flow History: pulmonary hypertension LIVER: The liver measures 16.7 cm in length. Normal hepatic parenchymal echogenicity and echotexture. The portal vein is patent with normal directional hepatopedal flow, peak velocity 18.9 cm/s. No focal masses.GALLBLADDER, BILIARY TRACT: Decompressed gallbladder without shadowing stones or sludge. The gallbladder wall measures 0.3 cm. The common bile duct measures 0.3 cm. No biliary ductal dilatation.PANCREAS: Limited evaluation due to overlying bowel gas. The pancreatic duct measures 0.2 cm.RIGHT KIDNEY: The right kidney measures 9.5 cm in length. Small midpole anechoic cyst measures 0.8 x 0.9 x 1.0 cm. Additional exophytic lower pole anechoic cyst measures 0.9 cm in the transverse plane. The renal parenchyma is unremarkable. No definite shadowing stones or hydronephrosis.LEFT KIDNEY: The left kidney measures 7.9 cm in length. Multiple tiny hyperechoic foci with posterior acoustic shadowing likely represent tiny nonobstructive intrarenal calculi. No hydronephrosis.OTHER: The spleen measures 16.3 cm in length, enlarged. No ascites.
1. No acute hepatobiliary abnormality. Specifically, normal portal venous directional flow, velocity, and waveforms.2. Multiple subcentimeter non-obstructive left renal stones.3. Splenomegaly.