61-year-old female with transaminitis, asymptomatic. History of hepatitis C, screening. Evaluate prior benign lesions. LIVER: Coarse echotexture of the liver measuring 16.0 cm in length. Again seen is a predominantly anechoic lesion in the left hepatic lobe measuring 2.8 cm x 3.3 cm x 4.8 cm with thin internal septation. The previously noted smaller hepatic cyst is no longer visualized. GALLBLADDER, BILIARY TRACT: There is a 3-mm gallbladder polyp. Gallbladder wall measures 2 mm in thickness. No pericholecystic fluid. Common bile duct measures 5 mm in caliber. No intra-or extrahepatic biliary ductal dilatation. PANCREAS: The visualized portions of the pancreas are normal in echogenicity with no evidence of pancreatic ductal dilatation.RIGHT KIDNEY: Right kidney measures 9.3 cm in length and is normal in echogenicity with no evidence of hydronephrosis.OTHER: Left kidney measures 10.1 cm in length and is normal in echogenicity with no evidence of hydronephrosis. Spleen is normal in echogenicity measuring 7.9 cm in length.
1. Minimally complex cystic lesion in the left hepatic lobe not significantly changed. No new lesions identified. 2. Coarse echotexture of the liver suggestive of parenchymal dysfunction/fatty infiltration.3. 3-mm gallbladder polyp. 