Liver Transplant Ultrasound Complete with Doppler
November 26, 2024
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FINDINGS:
Liver: Normal parenchymal echotexture and echogenicity. No focal hepatic mass.
Peritransplant collections: None.
Gallbladder: Cholecystectomy.
Bile Ducts: No intrahepatic biliary ductal dilation. The common bile duct measures [ ] cm.
Pancreas: Visualized portions of the head and body of the pancreas are unremarkable.
Right Kidney: Normal parenchymal echogenicity. No masses or calculi. No hydronephrosis.
Left Kidney: Normal parenchymal echogenicity. No masses or calculi. No hydronephrosis.
Spleen: [Spleen size] cm, normal.
Aorta and IVC: Unremarkable.
Fluid: No evidence of ascites or pleural effusions.
LIVER DOPPLER:
Splenic vein: Patent continuous normal antegrade direction flow towards the liver. Velocity: [Splenic vein velocity] cm/sec.
Portal Veins:
Extrahepatic portal vein: Patent continuous antegrade flow. Velocity: [MPV velocity] cm/sec.
Portal vein at anastomosis: Patent continuous antegrade flow. Velocity: [Portal vein anastomosis velocity] cm/sec.
Intrahepatic portal vein: Patent continuous antegrade flow. Velocity: [Intrahepatic portal vein velocity] cm/sec.
Right portal vein flow: Antegrade, measuring [Right portal vein velocity] cm/sec.
Left portal vein flow: Antegrade, measuring [Left portal vein velocity] cm/sec.
Inferior vena cava (IVC): Patent with flow toward the heart throughout.
Hepatic veins: Patent with flow towards the inferior vena cava.
Hepatic artery:
Extrahepatic: Low resistance waveform with flow towards the liver. Velocity: [Extrahepatic hepatic artery velocity] cm/sec. Resistive index: [Extrahepatic hepatic artery resistive index].
Right hepatic artery: Velocity: [Right hepatic artery velocity] cm/sec. Resistive index: [Right hepatic artery resistive index].
Left hepatic artery: Velocity: [Left hepatic artery velocity] cm/sec. Resistive index: [Left hepatic artery resistive index].
IMPRESSION:
Normal appearance of the transplant liver.
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