Male 61 years old Reason: rule out liver abscess History: sepsis LIMITED ABDOMENLIVER: The liver measures 18.1 cm. Heterogeneous hepatic parenchymal echotexture with multiple mixed echogenicity foci throughout the liver measuring up to 2 cm in the right hepatic lobe. The portal vein is patent with normal directional flow. Small volume perihepatic ascites.BILIARY TRACT: Moderate intrahepatic biliary ductal dilation. The extrahepatic biliary duct measures 4 mm. Status post cholecystectomy. No evidence of biliary ductal dilation.PANCREAS: No significant abnormality noted.KIDNEYS: The right kidney measures 10.6 cm. The left kidney measures 10.8 cm.SPLEEN: The spleen measures 17.8 cm. Perisplenic ascites.
1.Multiple mixed echogenicity foci throughout the liver as described above most consistent with liver abscesses as seen on comparison CT. The dominant right hepatic lobe abscess has decreased in size.2.Moderate intrahepatic biliary ductal dilation. 3.Hepatosplenomegaly.