60-year-old female patient with known history of ADPKD and stage IV CKD. Evaluate for cysts in the liver. Evaluate size of kidneys. LIVER: The liver measures 20.1 cm in length. A 0.5 x 0.5 x 0.4 cm hyperechoic lesion is noted within the right hepatic lobe adjacent the gallbladder.. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 4 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 18.7 cm in length, is echogenic, and contains multiple cysts, some of which are complex. The largest within the right upper pole measures 6.3 x 4.7 x 6.1 cm. No evidence of hydronephrosis. OTHER: The left kidney measures 18.4 cm in length, is echogenic, and contains multiple cysts, some of which are complex. The largest measures 12.7 x 7.0 x 10.7 cm. No evidence of hydronephrosis.The spleen measures 9.9 cm in length.
1. No cysts identified in the liver. Subcentimeter hyperechoic right hepatic lobe lesion; this likely represents a hemangioma in the absence of chronic liver disease/abnormal liver morphology.2. Medical renal disease with bilateral renal cysts.