Liver Cirrhosis With Portal Hypertension, Ascites & Splenomegaly Ultrasound Report Example | USG
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- Опубліковано 28 чер 2024
- Liver Cirrhosis With Portal Hypertension, Ascites & Splenomegaly Ultrasound Report Example | USG
Ultrasound Report:
Clinical History: Patient with known liver cirrhosis presents with increased abdominal girth, discomfort, and recent history of esophageal varices.
Findings:
Liver Size and Echo-Texture: The liver demonstrates a reduced craniocaudal length of 9 cm, indicating a shrunken liver. The liver parenchyma is markedly coarse and heterogeneously echogenic, consistent with advanced fibrotic changes.
Surface and Margins: The liver surface is irregular and nodular. The liver margins are sharp, which is characteristic of significant fibrosis and cirrhosis.
Vasculature: The portal vein diameter is 0.7 cm, with signs of portal hypertension evident by the presence of collateral vessels and a slow portal vein flow.
Spleen: Splenomegaly is observed with a spleen length of 13 cm, suggesting portal hypertension and secondary hypersplenism.
Ascites: Moderate ascites is present, with free fluid noted in the peritoneal cavity, more pronounced in the perihepatic and pelvic areas.
Additional Findings: There are no identifiable focal liver lesions. The kidneys, gallbladder, and pancreas appear normal on ultrasound examination.
Impression: The ultrasound findings indicate a shrunken liver with severe cirrhotic changes, including a coarse and heterogeneously echogenic parenchyma, nodular surface, and sharp margins. The presence of moderate ascites, splenomegaly, and portal hypertension are consistent with advanced liver disease. These findings warrant further evaluation, including liver function tests and consideration for management of portal hypertension and its complications. Referral to a hepatologist and possible consideration for liver transplantation evaluation are recommended.
Thank you very much for your knowledge
Most Welcome and thanks for watching!
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Thanks for sharing
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Thanks sir
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Thank you sir very well explained❤.
Most Welcome and thanks for watching!
Tnx dear doctor, god bless you
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Thankyou sir👍🙏
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Abdominal Ultrasound Normal Vs Abnormal Images | Liver, Gallbladder, Pancreas, Kidney, Hernia USG: ua-cam.com/video/eSekFP_KIQk/v-deo.html
Tx.you so much.Dr.sam.
Can you show craniocaudal measurement of liver as you are telling,9 cm in this pt.(so we can understand nicely)+ please show the sign of portal hypertension.splenomegay should must for making diagnosis of portal hypertension?
Please show portal colletrals.
In portal hypertension portal vein should be dilated,normal diameter is 0.8,but in this pt ,0.7,that is normal.
Thank you for watching! Yes, you can check out other videos on liver, portal vein and spleen for their specific pathological appearances. This video is just about a sample report. Thank you for the suggestions!
Can u say cirrhosis in Imaging? isn't it a clinical term? how about saying Coarse hepatic echotexture ?
Yes the term cirrhosis can be used in imaging when there are strong signs of cirrhosis
Нi. What is the velocity in portal vein? In splenic vein?
Hello! For portal vein and splenic vein, the velocity is from 20 to 40 cm/s approximately.
Can grain level make it look like someone has cirrhosis?can impedance be trusted?
Some low resolution machines may give an appearance of a cirrhotic liver. If there is any doubt, you can repeat the ultrasound scan.
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