Male 59 years old Reason: eval for portal vein thrombus, p/w Acute liver and kidney failure History: as above LIVER: The liver measures 16.1 cm in length and demonstrates coarsened parenchymal echogenicity. There is no evidence of biliary ductal dilatation or focal mass lesion within the hepatic parenchyma. The main portal vein is patent and demonstrates hepatopetal flow with a maximum velocity of 21 cm/s.BILIARY TRACT: The gallbladder wall is thickened and there is ill-defined heterogeneous material filling the lumen suggestive of hyperechoic sludge.PANCREAS: The pancreas is not well seen secondary to overlying bowel gas.SPLEEN: No significant abnormalities noted.RIGHT KIDNEY: The right kidney measures 13.4 cm in length and demonstrates appropriate parenchymal echogenicity. OTHER: No significant abnormalities noted.
1.Coarsened hepatic parenchymal echogenicity suggesting parenchymal function.2.Patent portal vein.3.Gallbladder wall thickening with associated echogenic biliary sludge.