History of islet cell transplant one year prior. Evaluate portal venous flow. LIVER: The liver is mildly echogenic, unchanged. No perihepatic fluid. Echogenic ring structures are unchanged. No focal suspicious lesion. The main portal vein demonstrates a normal spectral waveform, normal hepatopedal blood flow with peak systolic velocity of 0.4 m/s. The right and left portal veins are patent. The hepatic veins are patent and demonstrate normal orientation blood flow.BILIARY TRACT: No biliary ductal dilatation with the common duct measuring 4 mm. Normally distended gallbladder without wall thickening, gallstones, pericholecystic fluid or focal tenderness.PANCREAS: The visualized portions of the pancreas are unremarkable.SPLEEN: The spleen measures 9.9 cm without a focal lesion.RIGHT KIDNEY: The right kidney measures 9.5 cm without hydronephrosis, shadowing nephrolithiasis or discrete lesion. OTHER: The left kidney measures 10.2 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion.
Normal hepatopedal portal venous blood flow.