A 14-year-old adolescent is observed with a diagnosis of cirrhosis of the liver, according to the accompanying person, he has been on the waiting list for liver transplantation for several years, previously he was diagnosed with unilateral dropsy of the scrotum, in order to consider the possibility of surgical treatment of dropsy of the scrotum, he was sent for an ultrasound of the abdominal cavity, including for the presence of ascites.
On ultrasound, the liver: the anterior-posterior size of the right lobe is 132 mm (N less than 126 mm), the echostructure is diffusely heterogeneous, the edges of the liver are bumpy, uneven (differential diagnosis: cirrhosis, etc.). In the projection of the 4th segment of the liver, a rounded structure is visualized (differential diagnosis: regeneration node, etc.). The portal (9 mm) and hepatic veins are not dilated. Choledochus and bile ducts are not dilated.
The spleen is not visualized (removed).
A small amount of free fluid is also visualized in Morrison's pouch and in the pelvis (about 3 ml).
An enlarged omentum is visualized in the meso-/hypogastric region (differential diagnosis: panniculitis, etc.).
In the epigastrium, a single para-aortic lymph node up to 19 mm in size is visualized.
