Antiphospholipid syndrome. Recurrent GI bleed. Evaluate for mesenteric thrombosis. Evaluation of portal vein only requested. LIVER: Non-cirrhotic liver morphology. Normal parenchymal echogenicity. No focal hepatic lesions. Patent portal vein with normal flow velocity and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Normal appearance of the gallbladderPANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 7.6 cm in length. The left kidney is 8.2 cm in length. The renal parenchyma is echogenic bilaterally. No suspicious renal lesions are evident. No hydronephrosis is present.SPLEEN: 10.6 cm in length, without focal lesions evident.OTHER: No significant abnormalities noted. No ascites.
1. Patent portal vein.2. Echogenic renal parenchyma without hydronephrosis, compatible with medical renal disease.