64-year-old male patient with likely cirrhosis. Question of ascites, portal vein thrombus. LIVER: The liver measures 21.8 cm in length and demonstrates increased parenchymal echogenicity. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal but sluggish measuring 0.1 m/sec.GALLBLADDER, BILIARY TRACT: The gallbladder is filled with sludge. No gallbladder wall thickening or pericholecystic fluid. Sonographic Murphy's sign is negative. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 4 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 11.6 cm in length. No evidence of hydronephrosis. There is a 6 mm right lower pole renal stone.OTHER: The left kidney measures 11.8 cm in length. No evidence of hydronephrosis.The spleen measures 12.9 cm in length.A small amount of free fluid is noted in the pelvis.
1. Hepatomegaly and increased hepatic parenchymal dysfunction suggestive of hepatic steatosis/hepatic parenchymal dysfunction. 2. Biliary sludge. 3. Non-obstructing right nephrolithiasis. 