62-year-old male patient abdominal distention. Evaluate for ascites and cirrhosis. LIVER: The liver measures 17.1 cm in length. No focal hepatic lesion is identified. There is mild scalloping of the liver contour. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: The gallbladder is absent. A small amount of fluid is noted within the gallbladder fossa. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 6 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 12.3 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 12.9 cm in length. No evidence of hydronephrosis.The spleen measures 16.2 cm in length.Mild to moderate ascites.
1. Mild scalloping of the liver contour which can be seen in the setting of chronic liver disease.2. Mild to moderate ascites.3. Splenomegaly. 