Cirrhosis. Evaluate for portal vein thrombosis. Acute kidney injury. Assess for hydronephrosis. LIVER: Cirrhotic liver morphology. Increased parenchymal echogenicity. No focal hepatic lesions evident. Limited evaluation of the portal vein demonstrates normal portal venous blood flow and direction, measuring 25 cm/s. A patent recanalized umbilical vein is noted, compatible with cirrhosis.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Thickened gallbladder wall, which is nonspecific in the setting of ascites. Cholelithiasis.PANCREAS: Not well visualized due to overlying bowel gas.KIDNEYS: The right kidney is 11.0 cm in length. The left kidney is 11.0 cm in length. The renal parenchyma is echogenic bilaterally. A 13 mm simple appearing cyst is noted in the left renal midpole. A subcentimeter echogenic focus in the left superior pole possibly represents a nonobstructing renal stone. No suspicious renal lesions are evident. No hydronephrosis is present.SPLEEN: 12.2 cm in length, without focal lesions evident.OTHER: Large volume ascites present.
1. Cirrhosis with recanalized umbilical vein and normal portal venous flow.2. Large volume ascites.3. Cholelithiasis.4. Left nonobstructing nephrolithiasis.