Reason: assess liver parenchyma for evidence of cirrhosis; assess for portal vein thrombosis History: liver failure Study mildly limited due to dilated bowel loops.LIVER: The liver measures 15.1 cm in length. Mildly increased parenchymal echogenicity. Left hepatic cyst as seen on prior CT examinations. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.32 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the head and body of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 6.6 cm in length. RIGHT KIDNEY: Kidney measures 7.9 cm in length. Increased parenchymal echogenicity. No hydronephrosis.LEFT KIDNEY: Kidney measures 8.0 cm in length. Increased parenchymal echogenicity. No hydronephrosis.OTHER: Right pleural effusion and ascites.
1.Mildly increased hepatic echogenicity raising the possibility of fatty infiltration/parenchymal dysfunction without additional morphologic evidence of cirrhosis.2.Patent portal vein.3.Atrophic, echogenic kidneys suggestive of medical renal disease.4.Right pleural effusion and ascites.