Female 49 years old Reason: elevated lfts, distended abdomen; assess for ascites or liver abnormality History: confusion, elevated lft LIVER: Liver measures slightly large at 18.6 cm. Echogenicity is within normal limits. No focal hepatic mass. No evidence of cirrhosis. Mild perihepatic ascites is present. Main portal vein is patent with normal directional flow and a peak velocity of 36 cm/s.BILIARY TRACT: No intra or extrahepatic biliary ductal dilatation. Common bile duct measures 2 mm. Patient is status post cholecystectomy.PANCREAS: Head of the pancreas is normal in appearance without pancreatic ductal dilatation. Body and tail of the pancreas are obscured by overlying bowel gas.SPLEEN: Spleen is not visualized, likely autoinfarcted or removed.KIDNEYS: The right and left kidney are atrophic and echogenic. Right kidney measures 7.2 cm. Left kidney measures approximately 10 cm. Visualization of the kidneys is difficult secondary to patient's body habitus.OTHER: No significant abnormalities noted.
1.Hepatomegaly without evidence of cirrhosis or focal mass.2.Mild perihepatic ascites.3.Atrophic and echogenic kidneys.