82-year-old male with acute rise in lactate. Evaluate portal venous system LIVER: Coarse liver echotexture with the liver measuring 19 cm in length. Main portal vein is patent with peak systolic velocity of 0.2 m/s.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted.KIDNEY: Mildly echogenic kidneys with a hypoechoic left lower pole lesion measuring 1.9 x 1.8 x 2.0 cm, likely a benign cyst. Left kidney measures 11.8 cm in length and the right kidney measures 11.5 cm in length.OTHER: Moderate volume ascites and bilateral pleural effusions
1.Patent main portal vein.2.Moderate volume ascites and bilateral pleural effusions.