61-year-old male patient with history of hepatitis C, prekidney transplant evaluation. LIVER: The liver measures 17.0 cm in length and is mildly nodular in contour. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: The gallbladder is filled with stones. No gallbladder wall thickening or pericholecystic fluid is identified. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 5 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas. A peripancreatic lymph node measures 1.4 x 1.2 x 1.2 cm.RIGHT KIDNEY: The right kidney measures 7.9 cm in length and demonstrates increased cortical echogenicity. No evidence of hydronephrosis. There is a 1.6 x 1.2 x 1.4 cm mid to lower pole exophytic renal cyst.OTHER: The left kidney measures 9.0 cm in length and demonstrates increased cortical echogenicity. No evidence of hydronephrosis. There is a 2.3 x 2.2 x 2.5 cm cystic lesion within the mid left kidney with a few internal echogenic foci but no significant internal vascularity. An additional 1.1 x 1.3 x 1.3 cm lower pole renal cyst is noted.
1. Mildly nodular liver contour consistent with cirrhosis. 2. Cholelithiasis without sonographic evidence of acute cholecystitis.3. Bilateral simple renal cysts and minimally complex left midpole renal cyst.