Evaluate for cirrhosis. LIVER: The liver is slightly nodular in contour and coarse in echogenicity suggesting chronic liver disease/cirrhosis. It is normal in size measuring 17.7 cm in craniocaudal dimension. There is a 3.3 x 2.8 x 3.4 cm well-defined heterogeneously hypoechoic lesion with posterior through enhancement, suggesting a cystic component, with mild vascularity. Normal hepatopedal portal venous blood flow at 0.2 cm/s.BILIARY TRACT: No biliary ductal dilatation. Normally distended gallbladder containing several small gallstones. 4 mm nondependent echogenic focus may represent an adherent small stone or polyp. No gallbladder wall thickening.PANCREAS: Limited evaluation of the pancreas.SPLEEN: The spleen measures 10.8 cm in length without a focal lesion.RIGHT KIDNEY: The right kidney measures 12 cm in length without hydronephrosis, shadowing nephrolithiasis or suspicious lesion. There is a 2.4 cm right superior pole simple cyst.OTHER: The left kidney measures 10.3 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion.
Chronic liver disease with a 3.3 cm mass. Further characterization with a dedicated liver MR or CT is recommended.