Ask Dr. Z

NCCI requires a modifier on 76705. Would it be appropriate? Reason: R74.8, Z94.4

Pancreas: Not well visualized.

Liver: Heterogeneous coarse parenchymal echotexture with mild surface nodularity. Within the left hepatic lobe is an echogenic observation measuring 2.5 x 0.9 x 0.9 cm not seen on prior imaging. This finding appears to be adjacent to fat within the fissure.

Biliary: No biliary dilation. Common duct at the porta hepatis measures 0.6 cm.

Gallbladder: Cholecystectomy

Vascular: Color Doppler and spectral analysis were performed. The following vessels are patent with antegrade flow: main, right and left portal veins; left, middle and right hepatic veins; inferior vena cava; proper hepatic artery. Hepatic arterial resistive indices measure 0.57-0.58.

Spleen: 21.3 cm (previously 22.5 cm). Resolving known splenic infarct measuring 7.4 x 6.4 x 10.3 cm.

Other findings: Adjacent to the left hepatic lobe, there are small fluid collections, measuring 4.6 x 1.1 x 2.6 cm and 1.3 x 0.3 cm