67 year old male with elevated LFTs, evaluate for Budd-Chiari. LIMITED ABDOMENLIVER: Measuring 17.6 cm in length and is normal in echogenicity. BILIARY TRACT: Gallbladder is normal in echogenicity. Gallbladder wall measures 4 mm in thickness likely related to ascites. No pericholecystic fluid. Sonographic Murphy's sign is negative. Common bile duct measures 3 mm in caliber. No intra or extrahepatic biliary ductal dilatation. PANCREAS: The tail is obscured by overlying bowel gas. The remaining portions are normal in echogenicity with no pancreatic ductal dilatation.SPLEEN: Spleen measures upper limits of normal at 12.3 cm in length and is normal in echogenicity.  RIGHT KIDNEY: Measures 10.7 cm in length and is normal in echogenicity. OTHER: Heterogeneous collection in the left lower quadrant likely correlates with known hematoma given findings on recent CT.Small bilateral pleural effusions. Small perihepatic ascites. Left kidney measures 11.9 cm in length and is normal in echogenicity.
1. The portal veins, hepatic arteries and veins are patent with appropriate velocity and flow. 2. Heterogeneous collection in the left lower quadrant likely correlates with known hematoma given findings on recent CT.3. Small bilateral pleural effusions and perihepatic ascites. 