35 years old, Male, Reason: jaundice LIVER: The liver is mildly enlarged measuring 17.6 cm in length. Coarse nodular contour the liver consistent with cirrhosis. There is a moderate to large amount of perihepatic ascites. No focal hepatic identified. The portal vein is patent demonstrating pulsatile hepatopetal flow, which may be seen in setting of CHF, with a velocity of 0.3 m/s.BILIARY TRACT: Edematous contracted gallbladder with a thickened wall measuring up to 0.6 cm is likely related to cirrhosis and congestive heart failure. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 11.3 cm in length. A small splenule is present.RIGHT KIDNEY: Kidney measures 10.8 cm in length. Normal echotexture. No hydronephrosis or shadowing calculus.LEFT KIDNEY: Kidney measures 12.0 cm in length. Normal echotexture. No hydronephrosis or shadowing calculus.OTHER: Dilatation of the IVC is consistent with CHF.
1.Cirrhotic liver morphology with a moderate to large amount of ascites. No focal hepatic lesion identified.2.Edematous contracted gallbladder likely related to cirrhosis and CHF.3.IVC dilatation and pulsatile flow in portal vein, likely reflecting underlying right-sided heart failure.