5-year-old male with VOD and ascites ABDOMENLIVER: The liver measures 13.1 cm in length. Increased echogenicity of the liver, unchanged. No focal hepatic lesions or masses are identified.GALLBLADDER, BILIARY TRACT: Mild pericholecystic edema, likely related to ascites. No intrahepatic or extrahepatic biliary ductal dilatation is present. Sludge is present within the gallbladder, unchanged.PANCREAS: No significant abnormalities are noted in the visualized head of the pancreas. The body and tail of the pancreas are obscured by bowel gasOTHER: Moderate to large amount of ascites, unchanged. DOPPLER: Color and spectral Doppler were performed on inflow and outflow vessels.PORTAL VENOUS: Patent with hepatofugal flow. Hepatofugal flow is identified in the right, left, and main portal veins. Velocities of main, right, and left portal veins measure 0.2, 0.2, 0.1 m/sec, respectively.HEPATIC ARTERIES: Patent with normal arterial waveform. Common hepatic artery: Peak systolic velocity of 1.5 m/sec. Resistive index 0.9. Right hepatic artery: Peak systolic velocity of 0.6 m/sec. Resistive index 0.8.Left hepatic artery: Peak systolic velocity of 0.4 m/sec. Resistive index 0.8.HEPATIC VEINS: Hepatic veins are patent with normal phasic waveform.INFERIOR VENA CAVA: Non-dilated with no significant abnormalities noted.
Persistent hepatofugal flow throughout the portal venous system. Mildly increased resistive indices in hepatic arterial system. Moderate to large amount of ascites, unchanged. Gallbladder sludge.