59-year-old female with abdominal distention, ascites. Evaluate for portal vein thrombosis. History of metastatic breast cancer. LIVER: Measures 21.7 cm in length. Diffusely abnormal echotexture with several subtle lesions is consistent with diffuse hepatic metastases seen on prior studies.The portal vein is well visualized at the porta hepatis, and is patent in this location with antegrade flow measuring 0.1 m/s. The right and left portal vein branches are also patent. BILIARY TRACT: Collapsed gallbladder with secondary wall thickening. PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted.KIDNEY: No significant abnormalities noted. OTHER: Mild ascites.
1. Limited examination of the portal vein as detailed above demonstrates patency at the porta hepatis. Slow portal venous flow in this region may be secondary to widespread hepatic metastatic disease. 2. Hepatomegaly with diffusely abnormal hepatic echotexture consistent with hepatic metastases seen on prior studies. 3. Mild ascites. 