63 years old, Male, Reason: eval for cirrhosis and platelet sequestration History: thrombocytopenia, NASH LIVER: The liver is enlarged measuring 19.2 cm in length. Increased echogenicity is consistent with fatty infiltration. Coarse nodular contour of the liver is consistent with cirrhosis. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s.BILIARY TRACT: Patient is status post cholecystectomy. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: The spleen is enlarged measuring 15.3 cm in length. RIGHT KIDNEY: Kidney measures 11 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 11.3 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted.
1.Enlarged fatty liver with nodular contour consistent with cirrhosis.2.Splenomegaly.