67 years old, Female, Reason: abnormal lfts need vascular imaging History: abnormal LFTs need vascular imagin to r/o liver thrombosis Ultrasound exam is extremely limited due to patient body habitus.LIVER: The liver measures 19.8 cm in length. Increased hepatic parenchyma echogenicity is consistent with fatty infiltration. No focal hepatic lesions or masses are definitely identified. PORTAL VENOUS: The main portal vein is is not well-visualized with a possible peak systolic flow 1.3 cm/s which is elevated. No definite thrombus is identified.HEPATIC ARTERIES: The hepatic arteries are not well visualized.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. The common bile duct is not well visualized.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: The spleen is not well visualized. No significant abnormalities noted. The spleen measures 9.6 cm in length. RIGHT KIDNEY: No hydronephrosis or shadowing calculus.LEFT KIDNEY: No hydronephrosis or shadowing calculus.OTHER: No significant abnormalities noted.
1.Exam is limited due to patient body habitus. Within these limitations the portal vein appears patent with an increased peak systolic velocity. No definite thrombus is identified. Recommend dedicated CT to evaluate vascular patency. 2.Normal gallbladder and biliary tract with no evidence of cholelithiasis or cholecystitis.