Male 68 years old Reason: with doppler - r/o portal vein clot History: incr LFTs, h/o cirrhosis. Limited by bowel gas.LIVER: Cirrhotic morphology liver with marked increased echogenicity and heterogeneous texture. Very small left lobe difficult to visualize by ultrasound and also partly obscured by bowel gas. The mildly hypointense lesion in the left lobe described on the MRI is not visible by ultrasound.Portal vein is patent with hepatopedal flow. Peak velocity 0.1 m/s.GALLBLADDER, BILIARY TRACT: Gallbladder is surgically absent. No intrahepatic biliary dilatation. Common hepatic duct 0.7 cm diameter.PANCREAS: Limited visualization.RIGHT KIDNEY: Morphologically normal 11.2 cm in length.OTHER: Left kidney morphologically normal 11.1 cm in length.Spleen mildly enlarged 15 cm in length.Moderate generalized ascites
Cirrhotic morphology liver with limited visualization but no definite focal lesion. Patent portal vein with slow hepatopedal flow.Splenomegaly. Ascites.