Female 68 years old; Reason: Hx of HCC , check portal vein, hepatic vein and artery History: abnormal LFT LIVER: The patient is status post right hepatectomy. The left lobe is hypertrophied as seen on prior CT. There is normal echogenicity of the liver parenchyma. No focal hepatic lesions. No intrahepatic ductal dilation is seen. GALLBLADDER/BILIARY TRACT: The gallbladder is surgically absent. The common bile duct measures 3.4 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 9.6 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 10.8 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 11.3 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.Dopplers:INFERIOR VENA CAVA: The inferior vena cava is patent with hepatofugal flow.HEPATIC VEINS: The main hepatic vein is patent with hepatofugal flow.HEPATIC ARTERIES: The hepatic artery is patent with hepatopedal flow with peak systolic velocity ranging from 96.62 to108.1 cm/s and RI of 0.7.PORTAL VEIN: The main portal vein is patent with normal hepatopetal flow measured at 39.0 cm/s. SPLENIC VEIN: The splenic vein is patent with hepatopedal flow measuring 25.9 cm/s.SPLENIC ARTERY: The splenic artery is patent with antegrade flow into the spleen with peak systolic velocity measured at 56.3 cm/s and RI of 0.7.
1. Patient is status post right hepatectomy with left liver hypertrophy. No new worrisome masses are seen. 2. The portal veins, splenic vein, inferior vena cava, and hepatic/splenic arteries are patent with appropriate flow.