69-year-old male patient with hepatitis C. Evaluate stage of disease. LIVER: The liver measures 16.2 cm in length. Hepatic parenchymal echogenicity is within normal limits. There is a 0.7 x 0.7 x 0.9 cm anechoic lesion within the right hepatic lobe with posterior acoustic enhancement compatible with a simple cyst. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: There is no gallbladder wall thickening or pericholecystic fluid. There is a 0.4 x 0.3 x 0.4 cm gallbladder polyp. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 6 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 9.9 cm in length. No evidence of hydronephrosis. There is a 7.1 x 7.3 x 6.4 cm right upper pole renal cyst.OTHER: The left kidney measures 11.5 cm in length. No evidence of hydronephrosis.The spleen measures 9.9 cm in length.
1. Simple right hepatic cyst and right renal cyst.2. Subcentimeter gallbladder polyp requires no follow up by size criteria.