Male 60 years old; Reason: pt s/p robotic whipple with biliary leak s/p IR Right biliary system PTC - concern for obstruction of left biliary system - please eval for ductal dilation History: rising Alk phos LIVER: The liver measures 16.1 cm in length. The left lobe of the liver is not well-visualized. No focal hepatic lesions. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow measured at 14.8 cm/s. GALLBLADDER/BILIARY TRACT: The patient is status post Whipple procedure. The common bile duct measures 3.1 mm.PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen is poorly visualized in this study.RIGHT KIDNEY: The right kidney is poorly visualized in this study.LEFT KIDNEY: The left kidney measures 13.9 cm in length. The cortex appears to have normal echogenicity but is not well-visualized. No hydronephrosis, stones, or worrisome masses are seen.OTHER: No obvious loculated fluid collection is seen.
This study is technically limited due to patient's discomfort however no obvious intrahepatic ductal dilation or loculated fluid collections are seen.