Abdominal distention, acute liver failure history of chemotherapy LIVER: Liver parenchyma is mildly echogenic. No focal hepatic lesions.. No intrahepatic biliary ductal dilation. The portal vein is patent with normal directional flow. Moderate perihepatic ascites.GALLBLADDER, BILIARY TRACT: Nonspecific gallbladder wall thickening in the setting of ascites it measures 11 mm. Gallbladder sludge is noted.PANCREAS: The pancreas is obscured.RIGHT KIDNEY: Measures 11 cm. No mass or hydronephrosis.OTHER: Spleen measures 8.5 cm. left kidney measures 10.4 cm without hydronephrosis or mass.
Heterogeneous hepatic echotexture with perihepatic ascites. The main portal vein is patent.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.