Female; 64 years old. Reason: evaluate for cirrhosis and ascites History: history of heavy alcohol use and abdominal distention LIVER: The liver measures 11.9 cm in length. The liver capsule is smooth. The parenchyma is heterogeneous in echotexture. No focal hepatic mass is identified. There is no ascites.The main portal vein is patent and demonstrates hepatopetal flow with a peak velocity of 0.3 m/sec.BILIARY TRACT: The gallbladder is normal in appearance. There is no bladder wall thickening or pericholecystic fluid. The common duct measures 4 mm in diameter. There is no intrahepatic biliary ductal dilatation.PANCREAS: The head of the pancreas is unremarkable. The body and tail are obscured by overlying bowel gas.SPLEEN: The spleen measures 6.4 cm in length.KIDNEYS: The right kidney measures 9.7 cm in length. The left kidney measures 9.2 cm in length. The kidneys have a lobulated contour bilaterally likely secondary to scarring as seen on the prior CT. The renal parenchyma is normal in echogenicity bilaterally. There is no hydronephrosis or shadowing stone.OTHER: No significant abnormalities noted.
1.Heterogeneous liver parenchyma is nonspecific but likely represents chronic parenchymal dysfunction.2.No focal hepatic lesion.3.No ascites.