87-year-old male with abnormal liver function. LIVER: The liver is normal in size and echotexture. There is no focal hepatic abnormality.GALLBLADDER, BILIARY TRACT: No biliary tract dilatation. The gallbladder is somewhat collapsed with multiple large, shadowing calcarine and sludge. The wall, however, is not thickened and the patient was not tender over the gallbladder.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Nephrolithiasis without hydronephrosis. Large, simple lower pole cyst. Second highly complex cystic mass arising from the midpole with relatively thick internal septation and wall nodularity measuring 4.2 cm in diameter is unchanged from prior examinations.OTHER: Left kidney demonstrates nephrolithiasis without hydronephrosis.Splenic size upper normal.Small amount of ascites.
Liver appears unremarkable.Borderline splenomegaly.Multiple gallstones and sludge within the gallbladder without obvious complication.Bilateral nephrolithiasis without obstruction.Highly complex right renal cystic mass unchanged.Simple right renal cyst.