Female 51 years old Reason: pre- total pancreatectomy with auto islets, please doppler portal vein and asses for patency and portal hypertension LIVER: Liver is enlarged, coarse, and echogenic. No focal hepatic mass. Main portal vein is patent with hepatopetal flow and a peak velocity of 19.0 cm/s. Right and left portal veins are also patent. BILIARY TRACT: No intra-axial hepatic biliary ductal dilatation. Patient is status post cholecystectomy. Common bile duct measures up to 13 mm, which can be seen in the setting of prior cholecystectomy.PANCREAS: Portions of the head of the pancreas is normal in appearance without pancreatic ductal dilatation. Body and tail of the pancreas are scattered by overlying bowel gas.SPLEEN: Spleen is normal in appearance measuring 10.8 cmKIDNEYS: Normal cortical medullary differentiation. No hydronephrosis, shadowing calculi, or mass. Right kidney measures 9.9 cm area. Left kidney measures 9.6 cm. OTHER: No significant abnormalities noted.
1.Main, right, and left portal veins are patent with hepatopetal flow.2.Course and echogenic liver most consistent with fatty infiltration.