68-year-old male patient with persistently elevated LFTs. Evaluate for any hepatic abnormalities. LIVER: The liver measures 14.5 cm in length. There is a subcentimeter right hepatic cyst. Main portal vein flow is hepatopetal and measures 0.1 m/sec.GALLBLADDER, BILIARY TRACT: There is a subcentimeter non-shadowing echogenic focus within the gallbladder neck which does not appear to move with dependent positioning. No pericholecystic fluid or gallbladder thickening is identified. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 4 mm in diameter.PANCREAS: The pancreas is poorly visualized on this examination.RIGHT KIDNEY: The right kidney measures 12.7 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 13.0 cm in length. No evidence of hydronephrosis.The spleen measures 7.3 cm in length.
1. Subcentimeter non-shadowing echogenic focus within the gallbladder neck may represent a gallbladder polyp vs a non-shadowing stone.2. No sonographic evidence of acute cholecystitis. 3. Right hepatic cyst.