Altered mental status. Elevated LFTs. LIVER: Cirrhotic liver morphology. Coarsened parenchymal echogenicity. 10.3 cm in length. No focal hepatic lesions. GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Gallbladder not visualized.PANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 12.1 cm in length, with a 3.3 cm simple appearing cyst. The left kidney is 12.1 cm in length with a simple appearing cyst. No suspicious renal lesions are evident. No hydronephrosis is seen.SPLEEN: 12.7 cm in length, without focal lesions evident.OTHER: Moderate ascites is presentDOPPLER
1. Cirrhotic liver morphology with minimal reversed flow in the left and main portal veins. 2. Moderate ascites.3. Splenomegaly.