Reason: patient with abnormal LFTs, elevated Alk phos, want to eval for pathology History: abnormal LFTs LIVER: The liver measures 15.2 cm in length. The hepatic parenchymal echotexture and echogenicity are unremarkable. The portal vein is patent with normal directional hepatopetal blood flow, peak velocity 38.7 cm/s. No focal mass.GALLBLADDER, BILIARY TRACT: Contracted gallbladder. No evidence of cholelithiasis or pericholecystic fluid. The gallbladder wall measures 0.2 cm and the common bile duct measures 0.2 cm. No biliary ductal dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: The right kidney measures 10.6 cm in length. Echogenic renal parenchyma. No shadowing stones were hydronephrosis.LEFT KIDNEY: The left kidney measures 9.9 cm in length. 1.1 cm lower pole shadowing renal calculus. No hydronephrosis, however the upper pole the left kidney is not visualized.OTHER: Fibroid uterus, similar to prior exam. No free pelvic fluid.
1. No acute hepatobiliary abnormality.2. 1.1 cm left lower pole nonobstructing renal stone. No hydronephrosis, however the upper pole is not visualized.3. Echogenic kidneys, consistent with medical renal disease.