22-year-old male with a history of ulcerative colitis with thrombocytopenia. Evaluate the liver and spleen. LIVER: The liver is coarse in echotexture. It is normal in size, measuring 14.8 cm in the craniocaudal dimension. No focal hepatic lesion or intrahepatic biliary ductal dilatation. Normal hepatopetal portal venous blood flow at 13 cm/sec.GALLBLADDER, BILIARY TRACT: No extrahepatic biliary ductal dilatation with the common duct measuring 3 mm. Normally distended gallbladder without gallstones, wall thickening or pericholecystic fluid.PANCREAS: A partially visualized pancreatic head is unremarkable. The remainder of the pancreas is obscured.RIGHT KIDNEY: The right kidney is normal in size, measuring 11.3 cm, without hydronephrosis, shadowing nephrolithiasis or focal lesion evident. Color Doppler demonstrates hilar blood flow.OTHER: The left kidney is normal in size, measuring 11.7 cm without hydronephrosis, shadowing nephrolithiasis or discrete lesion evident. Color Doppler demonstrates hilar blood flow.The spleen is normal in size, measuring 10.8 cm without a discrete lesion evident.
Coarse hepatic parenchyma suggesting parenchymal dysfunction. No focal hepatic lesion or biliary ductal dilatation. Normal sized spleen.