Female 61 years old Reason: ?stones History: pain LIVER: Liver measures 15 cm. Normal echogenicity. No focal liver lesions.BILIARY TRACT: No evidence of cholelithiasis. No evidence of intra or extrahepatic biliary dilatation.PANCREAS: Not well visualized due to overlying bowel gas.RIGHT KIDNEY: Echogenic right kidney. There is a 2.4 cm simple appearing cyst within the right kidney. No evidence of hydronephrosis. OTHER: There are at least 2 large 6 thick-walled cystic lesions, one in the left lower quadrant and second one on the right side inferior to the right kidney. The cystic lesion in the left lower quadrant is larger and measures 8.5 x 3 cm. The etiology of these cystic lesions is unclear. Cystic lesion on the right side measures 2.6 x 2.3 cm.
Multiple intra-abdominal cystic lesions. Metastatic disease cannot be excluded. CT of abdomen pelvis is recommended for further evaluation of these lesions.Dr. Sadduddin was notified and acknowledged about the above findings at the time of the dictation. 