Patient with cirrhosis and recurrent ascites. History of lysis of adhesions. Abdominal distention. Evaluate portal vein. LIVER: The liver is cirrhotic in morphology and increased echogenicity without a discrete lesion. The portal vein appears patent, however with abnormal retrograde flow, unchanged from the prior study which was incorrectly reported as antegrade flow. No thrombus is identified.BILIARY TRACT: No intrahepatic biliary ductal dilatation.PANCREAS: Not evaluated.SPLEEN: Not evaluated.RIGHT KIDNEY: Not evaluated. OTHER: There is a moderate volume of abdominopelvic ascites which demonstrates numerous septations indicative of loculated ascites.Moderate right pleural effusion.
1. The portal vein is patent with abnormal retrograde flow, unchanged.2. Moderate volume abdominopelvic ascites with extensive loculation.3. Right pleural effusion.