The liver was diffusely hyperechoic to the falciform fat. The vena cava and aorta ratio was 1:1. The vena cava measured 0.5 cm and the aorta also measured 0.5 cm. An anomalous vessel measuring approximately 0.8 cm in width decoursed dorsally and was deriving from the portal vein in the area of splenic vein derived extrahepatic portosystemic shunt. The vessel appeared to bypass the vena cava and enter into the diaphragm. This pattern is most consistent with splenoazygos shunt, yet ideally would be confirmed by CT evaluation. However, a dorsal connection to the vena cava could not be completely ruled out. One view demonstrated a third vessel, which would suggest a double aorta sign, which would be consistent with azygos shunt. The gallbladder and common bile duct were unremarkable.

The urinary bladder presented a minor amount of sand. 

The kidneys were swollen in this patient along with hyperechoic, medullary rim sign. The kidneys were hypervascular. The right kidney measured 3.69 cm. The left kidney measured 3.5 cm.