Female 50 years old Reason: eval for causes of abdominal pain including pancreatitis History: lipase elev, abd pain LIVER: Intrahepatic biliary ductal dilatation is present. The liver has normal echogenicity. There is a large simple appearing central cyst measuring 3.7 x 3.7 x 3.5 cm, not significant changed in size. Liver measures 19.3 cm. Main portal vein is patent with a peak velocity of 19.1 cm/s.BILIARY TRACT: Patient is status post cholecystectomy. The common bile duct is 4 mm. Intrahepatic biliary ductal dilatation. No choledocholithiasis is identified.PANCREAS: Small cyst in the head of the pancreas measuring 0.7 x 0.9 x 0.8 cm is not significant changed. There is a new cyst is identified in the tail the pancreas measuring 1.7 x 2.6 x 1.7 cm.SPLEEN: The spleen measures 9.9 cm and is normal in echogenicity.KIDNEYS: Right kidney measures 10.9 cm. Small hyperechoic lesion measuring 0.5 x 0.5 x 0.5 cm likely representing an angiomyolipoma in the right kidney. Right exophytic renal cyst is not significant change in size measuring 1.2 x 1.0 x 1.1 cm. No hydronephrosis or shadowing calculi bilaterally.Left kidney measures 10.6 cm. No hydronephrosis, shadowing calculi, or mass.OTHER: Trace ascites.
1.Unchanged liver cysts and intrahepatic biliary duct dilatation.2.Multiple cysts in the pancreas, one of which is new from the prior study. Recommend CT which would further characterize the cysts in the pancreas as well as more likely characterize the renal lesions.3.Renal cysts.