Female 70 years old Reason: assess for liver pathology History: RUQ tenderness to palpation in pt with AML on chemotherapy LIVER: Mildly coarsened appearance of the liver which is nonspecific but can be seen in the setting of fatty infiltration or diffuse hepatic dysfunction. No focal hepatic mass. Main portal vein is patent with normal directional flow and peak velocity of 32 cm/s.BILIARY TRACT: No intra or extrahepatic biliary ductal dilatation. The common bile duct measures 5 mm. No gallbladder, possibly removed.PANCREAS: The visualized portions of the pancreas are within normal limits.SPLEEN: Spleen measures 13.3 cm and is normal in appearance.KIDNEYS: Normal cortical medullary differentiation. No hydronephrosis, shadowing calculi, or mass. Right kidney measures 9.4 cm. Cyst in superior pole of the left kidney measures 3.2 x 2.8 x 2.7 cm. Left kidney measures 10.4 cm. OTHER: No significant abnormalities noted.
Mildly coarsened appearance of the liver without focal mass. No intra or extrahepatic biliary ductal dilatation.