Female 20 years old Reason: 20F with sickle cell, now with septic shock and rising bilirubin History: see above LIMITED ABDOMENLIVER: The liver has a smooth contour. Liver measures 20 cm in length. The parenchyma is mildly echogenic . No suspicious hepatic lesions. Main portal vein is patent.BILIARY TRACT: The gallbladder has echogenic calculi with posterior acoustic shadowing. Wall measures 3 mm in thickness. Common duct measures 4 mm. PANCREAS: The pancreas is obscured due to bowel gas.KIDNEYS: The right kidney measures 14.3 cm. The cortex is normal in echogenicity. No shadowing calculi or hydronephrosis is present. The left kidney measures 13.3 cm. The cortex is echogenic. No shadowing calculi or hydronephrosis is present. SPLEEN: The spleen measures 7.1 cm. in length. OTHER: No ascites
1.Hepatomegaly without biliary ductal dilatation.2.Scattered gallstones without ultrasound evidence of cholecystitis.3.Patent portal vein