Reason: assess for cirrhosis and ascites History: jaundice LIVER: The liver measures 21.3 cm in length and is nodular in contour. The liver parenchymal echotexture is coarse with increased echogenicity. No focal hepatic lesions or masses are identified within the limitations of an echogenic liver. The portal vein is patent demonstrating hepatopetal flow with a velocity of 0.14 m/s.BILIARY TRACT: No cholelithiasis. Mild gallbladder wall thickening measuring up to 4 mm which is nonspecific in the setting of chronic liver disease and ascites. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3 mm in diameter.PANCREAS: Not visualized due to overlying bowel gas.SPLEEN: The spleen is enlarged and measures 19.5 cm in length. RIGHT KIDNEY: Kidney measures 13.2 cm in length. Normal echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 13.3 cm in length. Normal echotexture. No hydronephrosis.OTHER: Mild ascites. Bilateral pleural effusions.
1.Hepatomegaly and echogenic, nodular liver compatible with chronic liver disease/cirrhosis. Splenomegaly, ascites, and decreased flow velocity within the main portal vein compatible with sequelae of portal hypertension.2.Mild gallbladder wall thickening which is nonspecific but may be related to chronic liver disease without evidence of cholelithiasis.3.Bilateral pleural effusions.