73-year-old male patient with abdominal distention, prominent abdominal veins. Question of hepatomegaly. LIVER: The liver measures 18 cm in length and demonstrates increased parenchymal echogenicity. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 3 mm in diameter.PANCREAS: The pancreas is not visualized on this examination.RIGHT KIDNEY: The right kidney measures 9.3 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 11.2 cm in length. No evidence of hydronephrosis. There is a 2.2 x 2.1 x 2.1 cm left lower pole renal cyst with a single septation.The spleen measures 10.6 cm in length.No ascites.
1. Increased hepatic parenchymal echogenicity likely related to hepatic steatosis/hepatic parenchymal dysfunction. No ascites or hepatomegaly.2. Minimally complex left renal cyst. 