22 years old, Male, Reason: Evaluate liver and biliary tract History: 22 yo M with hx of MCTD, tricuspid regurgitation, R knee infection, new transaminitis LIVER: The liver measures 16.6 cm in length. The parenchymal echogenicity of the liver is normal. No focal hepatic lesion identified. IVC and hepatic veins are distended, may be seen in the setting of rightsided heart failure. The portal vein is patent with pulsatile hepatopetal flow and a velocity of 0.3 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5.5 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 9 cm in length. RIGHT KIDNEY: Kidney measures 11.6 cm in length. No evidence of hydronephrosis.LEFT KIDNEY: Kidney measures 9.2 cm in length. No evidence of hydronephrosis.
1.Normal gallbladder and biliary tract with no evidence of cholelithiasis or acute cholecystitis.2.The parenchymal echogenicity of the liver is normal. No focal hepatic lesion identified. 3.IVC and hepatic veins are distended, suggesting rightsided heart failure. 