Male; 69 years old. Reason: RUQ discomfort History: HBV LIVER: The liver measures 15.0 cm in length. The liver contour is smooth. The parenchyma is coarse and diffusely increased in echogenicity. No worrisome mass is identified.The main portal vein is patent and demonstrates hepatopetal flow with a peak velocity of 0.15 m/sec. BILIARY TRACT: The gallbladder is normal in appearance. There is no cholelithiasis or gallbladder wall thickening. The common duct measures 2 mm in diameter. There is no intrahepatic biliary ductal dilatation.PANCREAS: The head of the pancreas is unremarkable. The body and tail are obscured by overlying bowel gas.SPLEEN: The spleen measures 11.0 cm in length.RIGHT KIDNEY: Status post right nephrectomy. OTHER: The left kidney measures 10.7 cm in length. The renal cortex is normal in echogenicity. There is no hydronephrosis or shadowing renal stone. Previously seen hyperechoic, non-shadowing lesion in the interpolar region of the left kidney currently measures 6 x 5 x 5 mm, stable since November 2013.
1.Coarse liver echotexture. No focal mass is identified.2.Stable size and appearance of hyperechoic left renal lesion.