EXAMINATION: Procedures, Order Date 

COMPARISON: Comparison

HISTORY: History

TECHNIQUE: Grey-scale, color Doppler and spectral flow analysis.

FINDINGS: 
Liver: Liver:Normal/Steatosis/Cirrhosis Liver lesion

Gallbladder: Gallbladder:Normal/Cholelithiasis/Cholecystectomy

Bile Ducts: Intrahepatic ducts The common bile duct measures ZMLUS_COMMON_BILE_DUCT.

Pancreas: Pancreas

Right kidney: Right kidney size cm. Right kidney parenchyma Right kidney lesion Right kidney hydro

Left kidney: Left kidney size cm. Left kidney parenchyma Left kidney lesion Left kidney hydro

Spleen: Spleen cm.

Aorta and IVC: Aorta IVC

Fluid: Ascites

DOPPLER: 

There is flow MPV direction the liver in the main portal vein:
MPV velocity cm/sec in the main portal vein
RPV direction:Antegrade/Retrograde/Bidirectional at RPV velocity cm/sec in the right portal vein
LVP direction:Antegrade/Retrograde/Bidirectional at Field 13 cm/sec in the left portal vein

There is flow HA direction the liver in the hepatic artery:
HA PSV cm/sec peak systolic flow
HA minimum diastolic velocity cm/sec minimum diastolic flow 
HA RI resistive index 

The stent velocities are
Stent PV cm/sec at the portal vein
Stent mid cm/sec in mid stent
Stent distal cm/sec in the hepatic vein distal shunt end. 

Splenic vein

Hepatic veins

IMPRESSION: Impression

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Nodular contour.</choice></choices><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="1" start="197" length="12"><name>Liver lesion</name><defaultvalue>No focal hepatic mass.</defaultvalue><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="3" start="224" length="49"><name>Gallbladder</name><defaultvalue>Normal</defaultvalue><choices><choice name="Normal">No cholelithiasis, wall thickening or pericholecystic fluid. Negative sonographic Murphy's sign.</choice><choice name="Cholelithiasis">Cholelithiasis. No gallbladder wall thickening or pericholecystic fluid. Negative sonographic Murphy's sign.</choice><choice name="Cholecystectomy">Cholecystectomy.</choice></choices><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="1" start="287" length="18"><name>Intrahepatic ducts</name><defaultvalue>No intrahepatic biliary ductal dilation.</defaultvalue><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="4" start="336" length="22" mergeid="10000" mergename="ZMLUS_COMMON_BILE_DUCT"><name>ZMLUS_COMMON_BILE_DUCT</name></field><field type="1" start="371" length="8"><name>Pancreas</name><defaultvalue>Visualized portions of the head and body of the pancreas are unremarkable.</defaultvalue><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="1" start="395" length="17"><name>Right kidney size</name><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="1" start="417" length="23"><name>Right kidney parenchyma</name><defaultvalue>Normal parenchymal echogenicity.</defaultvalue><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="1" start="441" length="19"><name>Right kidney lesion</name><defaultvalue>No masses or calculi.</defaultvalue><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="1" start="461" length="18"><name>Right kidney hydro</name><defaultvalue>No hydronephrosis.</defaultvalue><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="1" start="494" length="16"><name>Left kidney size</name><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="1" start="515" length="22"><name>Left kidney parenchyma</name><defaultvalue>Normal parenchymal echogenicity.</defaultvalue><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="1" start="538" length="18"><name>Left kidney lesion</name><defaultvalue>No masses or calculi.</defaultvalue><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="1" start="557" length="17"><name>Left kidney hydro</name><defaultvalue>No hydronephrosis.</defaultvalue><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="1" start="584" length="6"><name>Spleen</name><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="1" start="611" length="9"><name>Aorta IVC</name><defaultvalue>Unremarkable.</defaultvalue><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="1" start="629" length="7"><name>Ascites</name><defaultvalue>No evidence of ascites or pleural effusions.</defaultvalue><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="1" start="663" length="13"><name>MPV direction</name><defaultvalue>towards</defaultvalue><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="1" start="712" length="12"><name>MPV velocity</name><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="3" start="756" length="48"><name>RPV direction</name><defaultvalue>Retrograde</defaultvalue><choices><choice name="">Antegrade</choice><choice name="Retrograde">Retrograde</choice><choice name="">Bidirectional</choice></choices><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="1" start="808" length="12"><name>RPV velocity</name><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="3" start="853" length="48"><name>LVP direction</name><defaultvalue>Antegrade</defaultvalue><choices><choice name="">Antegrade</choice><choice name="Retrograde">Retrograde</choice><choice name="">Bidirectional</choice></choices><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="1" start="905" length="8"><name>Field 13</name></field><field type="1" start="960" length="12"><name>HA direction</name><defaultvalue>towards</defaultvalue><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="1" start="1006" length="6"><name>HA PSV</name><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="1" start="1039" length="29"><name>HA minimum diastolic velocity</name><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="1" start="1100" length="5"><name>HA RI</name><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="1" start="1149" length="8"><name>Stent PV</name><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="1" start="1184" length="9"><name>Stent mid</name><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="1" start="1214" length="12"><name>Stent distal</name><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="1" start="1241" length="7"><name>hepatic</name><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field 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