53 year old female with alcoholic cirrhosis and increasing right upper and lower quadrant pain. Prior paracentesis. LIVER: Mildly enlarged and coarsely echogenic. No focal hepatic abnormality. Limited color and spectral Doppler demonstrates patency and appropriate flow direction the main portal vein.GALLBLADDER, BILIARY TRACT: Dependent sludge and gallstones within the gallbladder. The gallbladder wall is prominent and associated with ascites but not grossly thickened. The biliary tract is normal in caliber.PANCREAS: Limited by bowel gasRIGHT KIDNEY: No significant abnormalities noted.OTHER: Splenomegaly. Mild ascites, improved when compared to prior exam.
Gallbladder contains stones and dependent sludge without obvious complication.Coarsely echogenic and mildly enlarged liver.Ascites.Splenomegaly.