Male; 59 years old. Reason: cholecystitis History: elevated lft LIMITED ABDOMENLIVER: The liver measures 12.9 cm in length. The liver surface is nodular, the parenchyma is diffusely increased in echo density and coarsened in echotexture. No focal hepatic lesion is identified. There is a mild amount of ascites.BILIARY TRACT: Small shadowing stones are seen within the gallbladder neck. There is no gallbladder wall thickening or pericholecystic fluid. The common duct measures 0.4 cm in diameter. There is no intrahepatic biliary ductal dilatation.PANCREAS: Pancreas is not well-visualized due to overlying bowel gas.SPLEEN: The spleen measures 11.2 cm in length. KIDNEYS: The right kidney measures 10.4 cm in length, the left measures 1.2 cm in length. The renal cortex is normal in echogenicity. There is no hydronephrosis or shadowing renal stone.OTHER: No significant abnormalities noted.
1.Cirrhotic liver morphology with a mild amount of ascites and right pleural effusion.2.Reversal of flow in the main portal vein.3.Cholelithiasis without evidence acute cholecystitis or biliary ductal dilatation.