30-year-old female patient with mild hepatomegaly and mottled appearance of right hepatic lobe of uncertain etiology on outside hospital CT with concern for Budd-Chiari versus hepatic venoocclusive disease. LIMITED ABDOMENLIVER: The liver measures 17.9 cm in length. Hepatic parenchyma echogenicity is mildly increased. No focal hepatic lesion is identified.BILIARY TRACT: No gallstones, pericholecystic fluid, or gallbladder wall thickening is identified. There is no intra or extrahepatic biliary ductal dilatation. The common duct measures 3 mm in diameter.PANCREAS: The head of the pancreas has normal echogenicity. The body and tail is obscured by overlying bowel gas.SPLEEN: The spleen measures 8.5 cm in length. RIGHT KIDNEY: The right kidney measures 9.3 cm and the left kidney measures 10.4 cm in length. No evidence of hydronephrosis.OTHER: No significant abnormalities noted.
Patent hepatic vasculature.