Male 58 years old Reason: Evaluate for patency of previous TIPS procedure History: GI bleeding, bright red blood per rectum LIVER: Cirrhotic liver morphology. Unchanged simple appearing cyst measuring 1 x 0.9 x 0.8 cm. TIPS stent is patent. Main portal vein is patent with peak velocity of 52 cm/s. It is somewhat tortuous near the area of the TIPS. Hepatic arteries patent with normal flow. Intrahepatic portal vein is not well-visualized. Right portal vein is not well-visualized. The left portal vein has normal flow.BILIARY TRACT: No intra or extra hepatic biliary ductal dilatation. Common bile duct measures 4 mm.PANCREAS: Pancreas is not well seen.SPLEEN: Spleen is enlarged measuring 18.5 cm. Splenic vein is patent with a peak velocity of 24.6 cm/s.KIDNEYS: Right kidney is not well visualized. There is a right superior pole renal cyst measuring 6 x 5.3 x 6.6 cm. Right kidney measures 11.6 cm in length. Left kidney demonstrates normal cortical echogenicity. No hydronephrosis or shadowing calculus bilaterally. Left renal cyst measures 3 x 2.8 x 2.6 cm.OTHER: Trace perihepatic ascites
1.Patent TIPS stent and a patent main portal vein. 2.Cirrhotic morphology of the liver and trace perihepatic ascites.3.Splenomegaly