52-year-old female patient with ALL with elevated bilirubin and ALK. Evaluate for obstruction or liver disease. LIVER: The liver measures 22.0 cm in length. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: The gallbladder contains sludge. There is no gallbladder wall thickening or pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 4 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 13.0 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 13.1 cm in length. No evidence of hydronephrosis.The spleen measures 16.5 cm in length.
1. Hepatosplenomegaly.2. Biliary sludge.