Male 55 years old Reason: pre liver transplant work up; assess vasculature liver, inflow/outflow studies of vessels, ascites, portal vein thrombosis, lesions, masses History: cirrhosis, partial PVT, ascites LIVER: Extremely limited evaluation of the liver. Visualized portions are coarse.BILIARY TRACT: Cannot be evaluated on this examPANCREAS: No significant abnormalities noted.SPLEEN: The visualized portions of the spleen are normal in appearance measuring 13.8 cm. KIDNEYS: Kidneys are also not well visualized. Unchanged cystic lesion in the left kidney measures 3.3 x 5.9 x 7.2 cm.OTHER: No significant abnormalities noted.ABDOMINAL DOPPLER: Color and spectral Doppler were performed on inflow and outflow vessels.PORTAL VENOUS: Portal vasculature is not well visualized, however the there is suggestion of normal directional flow in the region of the portal vein. Splenic vein and artery are patent with normal directional flow.HEPATIC ARTERIES: Not well visualized. HEPATIC VEINS: Not well visualizedINFERIOR VENA CAVA: No significant abnormalities noted.
Extremely limited evaluation of the hepatic inflow and outflow vessels, which appear grossly patent. Very limited evaluation of the hepatic parenchyma. If further evaluation is clinically warranted, cross-sectional imaging with CT or MRI is recommended.