71-year-old male patient with EtOH cirrhosis, ascites, hepatic encephalopathy. Evaluate for portal vein thrombus. LIVER: The liver measures 14.0 cm in length, demonstrate coarsened hepatic echotexture, and is nodular in contour. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: There are gallstones. The gallbladder wall measures 5 mm in diameter, which is not significant setting of ascites. Sonographic Murphy's sign is negative. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 3 mm in diameter.PANCREAS: The pancreas is poorly visualized on this examination.RIGHT KIDNEY: The right kidney measures 9.4 cm in length and demonstrates increased cortical echogenicity. No evidence of hydronephrosis. There is a 1.1 cm right upper pole exophytic renal cyst.OTHER: The left kidney measures 8.7 cm in length and demonstrates increased cortical echogenicity. No evidence of hydronephrosis.The spleen measures 9.6 cm in length.There is mild to moderate ascites.
1. Cirrhotic morphology of liver with patent portal vein.2. Cholelithiasis with nonspecific gallbladder wall thickening.3. Mild to moderate ascites.4. Medical renal disease.