59-year-old female with coagulopathy and ascites. Evaluate for liver disease. LIVER: Liver measures 16 cm in length. Echotexture is mildly coarsened, and the contour is scalloped. There is widening of fissures and enlargement of the lateral segment left lobe. The appearance is consistent with cirrhosis. There is no focal hepatic mass. Limited color and spectral Doppler demonstrates patency and appropriate flow direction in the main portal vein. Tracing is pulsatile which may be seen with congestive heart failure.BILIARY TRACT: Gallbladder contains dependent stones and sludge. Gallbladder wall thickness is upper normal but this is not specific in the face of ascites.PANCREAS: Inadequately visualized due to bowel gas.SPLEEN: Normal in size.RIGHT KIDNEY: No significant abnormalities noted. OTHER: Mild to moderate ascites.
Cirrhotic liver without mass. Main portal vein patent.Gallstones.