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Is the portal vein trace on Doppler normal?
No, the flow, although predominantly antegrade, is pulsatile and has biphasic-bidirectional pattern.
The liver echotexture appears coarse although the liver surface and hepatic vein walls remain smooth in appearance. There is biphasic flow demonstrated within the main portal vein suggestive of portal hypertension. No other features however of portal hypertension with no upper abdominal masses, flow within the ligamentum teres or splenomegaly. No ascites demonstrated. The hepatic veins were patent. No focal liver lesion. No abnormal biliary dilatation.
The gallbladder was collapsed down. Right upper pole renal cyst. No hydronephrosis bilaterally.