73-year-old male patient with epigastric/right upper quadrant pain. Evaluate for biliary pathology. LIVER: The liver measures 16.6 cm in length. There are innumerable hypoechoic lesions within the liver. Main portal vein flow is hepatopetal and measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: The gallbladder is absent. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 3 mm in diameter.PANCREAS: The head of the pancreas demonstrate normal echogenicity. The remaining pancreas is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney is absent.OTHER: The left kidney measures 12.1 cm in length. No evidence of hydronephrosis. A 2.4 cm left lower pole renal cyst is noted.The spleen measures 10.7 cm in length.
Innumerable hypoechoic lesions within the liver which are better evaluated with CT. No intra or extra hepatic biliary ductal dilatation.