Reason: evaluate liver parenchyma and vasculature, blockage seen on CT chest History: Abdominal pain and bloating LIVER: The liver measures 14.2 cm in length. Mildly increased hepatic echogenicity. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.26 m/s. BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 9.5 cm in length. RIGHT KIDNEY: Native kidney not visualized.LEFT KIDNEY: Native kidney not visualized.OTHER: No significant abnormalities noted.
Increased hepatic echogenicity suggesting fatty infiltration/dysfunction. Portal vein appears grossly patent. Additional dedicated cross-sectional imaging could be considered as clinically warranted.