29-year-old female patient with hypoxic respiratory failure, shock, ARDS, GVHD of liver, elevated bilirubin. Evaluate for venoocclusive disease. LIMITED ABDOMENLIVER: The liver measures 15.2 cm in length and demonstrates increased echogenicity.BILIARY TRACT: No gallstones are identified. Gallbladder wall thickening measuring 6 mm is nonspecific in the setting of ascites. There is no intra or extrahepatic biliary ductal dilatation. The common duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted.SPLEEN: The spleen measures 12.6 cm in length. KIDNEYS: The right kidney measures 13.1 cm and the left kidney measures 14 cm in length. No evidence of hydronephrosis.OTHER: There is moderate ascites.
1. Patent hepatic vasculature. 2. Increased hepatic echogenicity which can be seen with hepatic parenchymal dysfunction.3. Moderate ascites. 