3o year old female with acute liver failure. Evaluate for portal vein thrombosis. LIVER: Liver is enlarged measuring 20.8 cm in length and is normal in echogenicity. The portal vein is patent with appropriate flow and no evidence of thrombus. GALLBLADDER, BILIARY TRACT: Status post cholecystectomy. Common bile duct measures 3 mm in caliber. No intra or extrahepatic biliary ductal dilatation. PANCREAS: Normal echogenicity with no pancreatic ductal dilatation. KIDNEYS: Increased echogenicity of the renal parenchyma, right greater than left. There is mild fullness of the left renal collecting system. OTHER: Status post splenectomy. Foley in a decompressed bladder limits evaluation.
1. Portal vein is patent with no evidence of thrombus. 2. Increased echogenicity of the renal parenchyma, right greater than left, nonspecific, suggestive of medical renal disease. 3. Mild fullness of the left renal collecting system. 