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The liver parenchyma is homogeneous in echotexture, and its surface has a smooth contour. The contour of the parenchyma abutting the hepatic veins is reasonably smooth. Multiple echogenic liver lesions likely represent haemangioma.
Doppler scanning demonstrated normal direction of flow in the main portal vein. No porto systemic varices detected.
Two gallbladders are present. Both appear to have thick walls however are collapsed limiting assessment. No gallstones identified. The common bile duct measures 2 mm in maximal calibre.
No intrahepatic or extrahepatic duct dilatation was detected. Sonographic Murphey's positive.
The head and neck of the pancreas appear normal. The tail is poorly imaged due to overlying gas.
Duplicated gallbladder. Sonographic Murphey's positive. While the gallbladders appear thick walled, assessment is limited as they are largely collapsed. Splenomegaly.