61-year-old female patient with hemachromatosis. LIVER: The liver measures 13.3 cm in length. There is a 2.4 x 2.6 anechoic lesion with posterior acoustic enhancement compatible with a simple cyst in the right hepatic lobe, which is slightly larger in size compared to the 2008 study. An additional bilobed hepatic cyst is noted more posteriorly in the right hepatic lobe, not significantly changed. Main portal vein flow is hepatopetal and measures 0.2 m/s.GALLBLADDER, BILIARY TRACT: There are no gallstones, pericholecystic fluid, or gallbladder wall thickening. No intra- or extrahepatic biliary ductal dilatation is identified. The common bile duct measures approximately 2 mm in diameter.PANCREAS: There is normal echogenicity of the head and body of the pancreas. The tail of the pancreas is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 10.2 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 9.1 cm in length. No evidence of hydronephrosis. A subcentimeter mid pole simple cyst is again noted. Two echogenic foci within the mid pole of the left kidney are again seen compatible with nephrolithiasis.The spleen measures 6.2 cm in length.
1. Slightly increased size of one of two hepatic cysts. Unchanged simple left renal cyst.2. Left nephrolithiasis.