57-year-old male patient with bruising abdomen status post PTC drain with AMS, hypertension. Evaluate for worsening obstruction of gallbladder or free fluid in abdomen. LIVER: The liver measures 16.4 cm in length and demonstrates increased, coarsened parenchymal echotexture. Main portal vein flow is hepatopetal and measures 0.14 m/sec.GALLBLADDER, BILIARY TRACT: Interval placement of a percutaneous cholecystostomy tube. The gallbladder is less distended and contains less debris. There is no intrahepatic biliary ductal dilatation. The common bile duct appears to contain some echogenic material which may represent sludge and measures 7 mm in diameter. PANCREAS: The pancreas is poorly visualized on this examination.RIGHT KIDNEY: The right kidney is poorly visualized.OTHER: The left kidney is not visualized on this examination.The spleen measures 11.6 cm in length.No ascites is identified. No discrete fluid collection is identified in the subcutaneous tissues near the cholecystostomy tube.
1. Less distended gallbladder.2. No ascites. 