Reason: splenomegaly-evaluate liver, spleen and portal flow. LIVER: The liver measures 19.3 cm in length. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.19 m/s.BILIARY TRACT: Gallbladder surgically absent. Mild prominence of the common bile duct measuring up to 10 mm, not unexpected status post cholecystectomy. No intrahepatic biliary ductal dilatation.PANCREAS: Obscured by bowel gas.SPLEEN: The spleen is enlarged measuring 16.3 cm in length.RIGHT KIDNEY: Kidney measures 12.2 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 13.2 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No ascites.
1.Mild hepatomegaly. Increased hepatic echogenicity suggestive of parenchymal dysfunction/fatty infiltration. No ascites.2.Mild prominence of the common bile duct which is not unexpected status post cholecystectomy. 