Reason: known cirrhosis, hx of stones, now with nausea and vomiting. LIVER: The liver measures 12.7 cm in length and is cirrhotic in morphology. The liver parenchymal echotexture is course. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s.BILIARY TRACT: Cholelithiasis and layering sludge. Mild gallbladder distention and diffuse nonspecific wall thickening. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 6 mm in diameter.PANCREAS: Not visualized.SPLEEN: The spleen measures 13.5 cm in length. RIGHT KIDNEY: Kidney measures 10.0 cm in length. Normal echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 9.7 cm in length. Normal echotexture. No hydronephrosis.OTHER: Large ascites.
1.Cirrhotic liver. Ascites.2.Cholelithiasis. Mild gallbladder wall thickening which is nonspecific in the setting of ascites. Clinical correlation is recommended for acute cholecystitis. HIDA scan could be considered for additional evaluation as clinically indicated. No biliary ductal dilatation.