75-year-old female patient with new ascites. Evaluate for cirrhosis. LIVER: The liver measures 16.0 cm in length. No focal hepatic lesion is identified and the liver contour is grossly normal. Main portal vein flow is hepatopetal and measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: The gallbladder is filled with stones. There is no significant gallbladder wall thickening. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 4 mm in diameter.PANCREAS: The pancreas is poorly visualized secondary to overlying bowel gas.RIGHT KIDNEY: The right kidney measures 10.3 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 9.8 cm in length. No evidence of hydronephrosis. Renal cortical echogenicity is increased.The spleen measures 10.5 cm in length.There is moderate ascites.
1. Moderate ascites. No focal hepatic lesion is identified.2. Medical renal disease. 3. Cholelithiasis. 