Reason: 38F with ALL, p/w nausea/vomiting, elevated lipase. Evaluate for stones, hepatin vein thrombus. LIVER: The liver measures 18.3 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.4 m/s. The hepatic veins appear patent.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 2 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 10.7 cm in length. RIGHT KIDNEY: Kidney measures 13.2 cm in length. Cortical echogenicity perhaps mildly increased. No hydronephrosis.LEFT KIDNEY: Kidney measures 14.1 cm in length. Cortical echogenicity perhaps mildly increased. No hydronephrosis.OTHER: No significant abnormalities noted.
1.No evidence of acute cholecystitis or biliary ductal dilatation. Patent hepatic veins.2.Possible mildly increased renal echogenicity raising possibility of medical renal disease.