60-year-old female patient with history of CLL status post SCT. Anasarca and ascites. LIVER: The liver measures 19.2 cm in length. Hepatic parenchymal echogenicity is within normal limits. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: There is cholelithiasis. The gallbladder wall is borderline thickened, which is nonspecific in the setting of ascites. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 5 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 10.2 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 10.4 cm in length. No evidence of hydronephrosis.The spleen is not visualized.There is mild ascites.
1. Mild hepatomegaly and mild ascites.2. Cholelithiasis with borderline gallbladder wall thickening, which is non-specific in the setting of ascites.