53-year-old female status post lung transplant now with liver failure, coagulopathy, elevated LFTs. Evaluate liver blood flow. LIMITED ABDOMENLIVER: Increased echogenicity of the liver measuring 17.8 cm in length. No focal hepatic lesions. BILIARY TRACT: Gallbladder is filled with sludge. No gallbladder wall thickening. No pericholecystic fluid. No intra-or extrahepatic biliary ductal dilatation. PANCREAS: Visualized pancreas is normal in echogenicity. SPLEEN: Not well visualized.  RIGHT KIDNEY: Normal echogenicity measuring 9.6 cm in length. No hydronephrosis or shadowing calculi. OTHER: Normal echogenicity of the left kidney measuring 9.6 cm in length. No hydronephrosis or shadowing calculi. Perihepatic ascites.
1. Partial thrombus in main portal vein. No flow is seen in the common hepatic artery, left hepatic artery, and left portal vein. 2. Increased echogenicity of the liver suggestive of parenchymal dysfunction/fatty infiltration. Perihepatic ascites. 3. Gallbladder sludge. Findings were discussed with Dr. Todd Dodick by phone on 3/12/2015 at 3:25 PM. 