Female 45 years old; Reason: s/p total pancreatectomy with auto-islet transplantation, 1 year follow up. Please evaluate flow in liver and complete doppler of poral vein. History: see above LIVER: The liver measures 15.1 cm in length. Diffuse echogenic foci scattered throughout the liver of uncertain etiology which could represent fat although cannot be certain. No focal hepatic lesions. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow measured at 24.0 cm/s. The right portal vein is patent with normal flow measured at 14.7 cm/s. The left portal vein is patent with normal flow measured at 10.3 cm/s.GALLBLADDER/BILIARY TRACT: The gallbladder is been surgically removed. The common hepatic duct measures 2.6 mm in diameter. PANCREAS: Evaluation obscured by bowel gas.SPLEEN: The spleen has been surgically removed.RIGHT KIDNEY: The right kidney measures 10.4 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 12.0 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.OTHER: No significant abnormality noted.
1. Diffuse echogenic foci scattered throughout the liver of indeterminate etiology. This may represent fat, however if clinically warranted dedicated cross sectional imaging may be indicated.2. Surgical changes of a cholecystectomy and splenectomy.