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Ultrasound Findings: Potential Liver Problems and other Concerns
Can you please tell me if anything on my ultrasound would indicate liver problems or anything else of concern? EXAMINATION: ABD COMP ULTRASOUND CLINICAL HISTORY: Pancreatitis , chronic. Increased pain right upper quadrant. TECHNIQUE: 2D and color Doppler imaging of the abdomen is performed. COMPARISON STUDY: None FINDINGS: The pancreas is obscured by bowel gas. Proximal aorta is also not well seen. Mid to distal aorta is grossly normal in caliber. The IVC is patent at the level of the liver. The liver measures 15.9 cm in length with coarse echotexture and loss of architecture definition consistent with infiltrative change, nonspecific. No focal geographic abnormality identified. Hepatopetal flow in the portal vein noted. The gallbladder is normally distended with no gallstones, gallbladder wall thickening or pericholecystic fluid. Can not exclude a small amount of dependent sludge. The common bile duct measures less than 2 mm in diameter. The right kidney demonstrates normal corticomedullary differentiation. No obstructive uropathy. The right kidney is 10.6 cm in length with normal color flow. Left kidney is 10.5 cm in length with normal corticomedullary differentiation and no evidence of obstruction. The spleen is fairly homogeneous. IMPRESSION: Limited evaluation of the pancreas and proximal aorta due to bowel gas. No obvious free fluid, correlation needed, consider CT with IV contrast if additional assessment warranted. Subtle gallbladder sludge suspected. No acute cholecystitis.
Surgical Gastroenterologist
Answered on 3rd July '23
Based on the ultrasound findings, the report mentions some observations, but it also notes limitations due to bowel gas obscuring the pancreas and proximal aorta. No focal abnormalities or gallbladder issues are identified, although a small amount of dependent sludge cannot be completely ruled out. The kidneys and spleen appear normal.Further evaluation and correlation are recommended, such as a CT scan with IV contrast, if needed. No acute cholecystitis or obvious free fluid is noted. Also make sure to consult your doctor for a comprehensive assessment and interpretation of the results.
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