Reason: abdominal pain LIVER: The liver measures 15.9 cm in length. Coarse, echogenic hepatic parenchyma. The portal vein is patent with normal hepatopetal directional flow, peak velocity 21.3 cm/s. No focal mass.GALLBLADDER, BILIARY TRACT: Status post cholecystectomy. The common bile duct measures 0.3 cm. No biliary ductal dilatation.PANCREAS: No significant abnormalities noted. The body and tail of the pancreas are obscured by bowel gas.RIGHT KIDNEY: The right kidney measures 10.3 cm in length. No hydronephrosis, shadowing stones, or mass.LEFT KIDNEY: The left kidney measures 11.2 cm in length. There is a complex cystic lesion in the left lower pole measuring 2.0 x 1.6 x 1.6 cm with internal septation. No hydronephrosis or shadowing stones.OTHER: No ascites.
1. Cystic lesion in the lower pole of the left kidney is of indeterminate complexity. Follow-up evaluation with dedicated contrast-enhanced CT scan is recommended.2. Coarse, echogenic liver, consistent with hepatic steatosis or parenchymal dysfunction.