The liver is small, has coarse echotexture, and irregular contours consistent with cirrhosis. Small calcified left hepatic lobe granulomas, no suspicious liver lesions.
The portal vein is patent and has anterograde flow. Hepatic veins are patent but shoe decrease in phasicity and truncation of the a wave. Recanalisation of the paraumbilical vein.
Spleen is not enlarged.
Large amount of ascites and left pleural effusion.