48-year-old female patient with rising direct and indirect bilirubin, ascites. Evaluate etiology of liver and gallbladder disorder. LIVER: The liver measures 15.9 cm in length. A segment IV hyperechoic lesion corresponds to focal fat as seen on prior MRI. Additional hyperechoic lesions are similar to the prior ultrasound. The liver is mildly nodular in contour. Main portal vein flow is hepatopetal and measures 0.1 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. An echogenic focus in the gallbladder which likely represents a polyp measures 0.3 x 0.3 x 0.4 cm. There is no intrahepatic biliary ductal dilatation. The common duct measures 8 mm in diameter.PANCREAS: The pancreas is poorly visualized on this examination.RIGHT KIDNEY: The right kidney measures 13.9 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 15.7 cm in length. No evidence of hydronephrosis.The spleen measures 18.7 cm in length.There is mild ascites.
1. Cirrhotic morphology of the liver with scattered hyperechoic lesions, one of which demonstrated to be fat on prior MRI.2. Mild ascites and splenomegaly.3. Subcentimeter gallbladder polyp.