57-year-old female with history of cervical cancer, elevated alkaline phosphatase. Evaluate for liver pathology. Limited examination, particularly of the liver, due to pneumothorax, pulmonary opacities, and patient body habitus. LIVER: Increased hepatic echogenicity. Allowing for the limitations detailed above, no discrete hepatic lesions are identified. BILIARY TRACT: Very limited examination, however there is suggestion of dilation of the common bile duct and gallbladder distention. However, the gallbladder is not clearly visualized sonographically and incompletely characterized. PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted.KIDNEY: Mild to moderate bilateral hydronephrosis. Increased renal echogenicity. OTHER: No significant abnormalities noted.
1. Very limited examination as detailed above. Suggestion of common bile duct dilation and gallbladder distension, though neither can be clearly imaged or completely characterized on this limited exam. A short term follow up examination or a nuclear medicine hepatobiliary study may be considered for further evaluation as warranted clinically. 3. Mild to moderate bilateral hydronephrosis. Findings were discussed with Dr. Haman by phone at 1045 on 9/2/15. 