Demographics:
49 years old, Female
Indication:
Ascites, remote history of cholecystectomy
Findings
- Near-occlusive portal vein thrombosis extending from the portosplenic confluence through the main portal vein into right and left intrahepatic portal branches
- Some hepatopetal flow is documented in the portal vein with documented velocities of 13 cm/s in the main portal vein, 13 cm/s in the right portal vein, and 10 cm/s in the left portal vein
- Hepatic veins are patent
- Coarsened hepatic echotexture with nodular surface contour
- Normal appearance of the spleen
- Moderate volume ascites
Diagnosis
Portal vein thrombosis
Sample Report
Near-occlusive portal vein thrombosis extending from the portosplenic confluence through the main portal vein into right and left intrahepatic portal branches.
Coarsened hepatic echotexture with nodular surface contour, suggestive of cirrhosis.
Moderate volume ascites.
Discussion
References