Reason: pre-total pancreatectomy with autologous islet cell transplant due to chronic pancreatitis. Please evaluate abdominal organs and doppler portal vein of the liver to r/o clots and portal vein hypertension. LIVER: The liver measures at least 16 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.27 m/s. The right and left portal veins also appear patent.BILIARY TRACT: Gallbladder surgically absent. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: Decreased echogenicity within the visualized portions of the pancreas nonspecific but may be related to chronic pancreatitis.SPLEEN: The measures 12.3 cm in length. RIGHT KIDNEY: Kidney measures 10.4 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 10.8 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted.
Normal hepatic parenchyma without mass or duct dilatation. Patent portal vein with normal directional flow. 