54-year-old female patient with cirrhosis. Assess patency of blood vessels. HCC screening. LIMITED ABDOMENLIVER: The liver measures 15.6 cm in length, is nodular in contour, and demonstrates coarsened heterogeneous echogenicity. No focal hepatic lesion is identified.BILIARY TRACT: There are no gallstones, pericholecystic fluid, or gallbladder wall thickening. There is no intra or extrahepatic biliary ductal dilatation. The common duct measures 6 mm in diameter.PANCREAS: No significant abnormalities noted.SPLEEN: The spleen measures 16.6 cm in length. RIGHT KIDNEY: The right kidney measures 10.7 cm in length. No evidence of hydronephrosis.OTHER: The left kidney measures 11.1 cm in length. No evidence of hydronephrosis.
1. Cirrhotic morphology of the liver with complete reversal of the portal venous system. 2. Splenomegaly and numerous peripancreatic/perisplenic collateral vessels.