54 years old, Male, Reason: r/o masses, cirrhosis History: abdominal pain LIVER: The liver is enlarged measuring 21.6 cm in length. Coarse heterogeneous liver could be indication of chronic liver disease. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.3 m/s.BILIARY TRACT: Patient is status post cholecystectomy. The common bile duct measures 6 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: The spleen is difficult to visualize on this exam. The visualized spleen measures approximately 6.6 cm in length. RIGHT KIDNEY: Kidney measures 11.7 cm in length. Echogenic right kidney indicating medical renal disease without evidence of hydronephrosis. Simple appearing right renal cyst measures 1.2 x 1.2 x 1.3 cm.LEFT KIDNEY: Kidney measures 13.0 cm in length. Increased echogenicity of the left kidney is consistent medical renal disease. No evidence of hydronephrosis. Left renal cyst measures 1.5 x 1.4 x 1.0 cm.OTHER: No significant abnormalities noted.
1.Hepatomegaly with coarse heterogeneous liver which can be consistent with chronic liver disease. No hepatic mass.2.Increased echogenicity of the kidneys without hydronephrosis is consistent with medical renal disease.