Reason: Upper abdomen/epigastric pain, recent transplant day +5. History: Upper abdominal pain, epigastric pain, some nausea LIVER: The liver measures 15.9 cm in length. Mildly increased parenchymal echogenicity is suggestive of fatty infiltration/parenchymal dysfunction. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.3 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic biliary ductal dilatation is present. The common bile duct measures 8-9 mm in diameter and tapers distally. No choledocholithiasis is visualized.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 9.0 cm in length. RIGHT KIDNEY: Kidney measures 12.7 cm in length. Normal cortical echotexture. No hydronephrosis, shadowing calculus, or mass.LEFT KIDNEY: Kidney measures 12.1 cm in length. Normal cortical echotexture. No hydronephrosis, shadowing calculus, or mass.OTHER: Trace abdominal ascites.
1.Mild prominence of the common bile duct which may simply reflect age-related ectasia but may be correlated with liver function tests. No evidence of intrahepatic biliary duct dilatation.2.Echogenic liver suggestive of parenchymal dysfunction/fatty infiltration.3.Trace abdominal ascites. 