NASH with altered mental status LIVER: Cirrhotic morphology again noted. Estimated liver length 11.2 cm. No obvious discrete lesion seen; however technical limitations limit comprehensive evaluation. Limited Doppler interrogation of the hepatic vessels again demonstrate a patent but attenuated main portal vein with reversal of portal venous flow.GALLBLADDER, BILIARY TRACT: Gallbladder absent. No ductal dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 12.4 cm in lengthOTHER: Spleen 14.8 cm in length. Mild ascites.
Cirrhotic morphology again noted. No obvious discrete lesion seen; however technical limitations limit comprehensive evaluation. Limited Doppler interrogation of the hepatic vessels again demonstrate a patent but attenuated main portal vein with reversal of portal venous flow; this reversal of main portal flow presumably secondary to extensive portosystemic collaterals seen on the recent MR. Mild ascites