History of NASH and hepatitis C cirrhosis, evaluate liver and biliary system. Exam limited due to body habitus. LIVER: The liver measures 16 cm in length. Coarse echotexture and nodular capsule consistent with cirrhosis. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.1 m/s.BILIARY TRACT: Status post cholecystectomy. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 2 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: The spleen measures 15.2 cm in length. RIGHT KIDNEY: Kidney measures 9.4 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 11.8 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted.
Limited study due to patient's body habitus. Cirrhotic liver. Splenomegaly. 