51 years old, Male, Reason: Assess for cirrhosis, PH? History: HepC, ascites, lower extremity edema LIVER: The liver measures 17 cm in length. Mildly increased hepatic parenchymal echogenicity. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.3 m/s. No nodularity or widening of the fissures to suggest cirrhosis.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. Mild prominence of intrahepatic biliary ductal system. No extrahepatic biliary ductal dilatation is present. The common bile duct measures 5 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 11.3 cm in length. RIGHT KIDNEY: Kidney measures 9.3 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 10 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.OTHER: No evidence of ascites.
1.Mildly increased hepatic parenchymal echogenicity without evidence of focal lesion.2.No parenchymal nodularity or widening of the fissures to suggest cirrhosis.