73-year-old male with hepatic failure and lymphoma. LIVER: There is hepatomegaly with the liver measuring at least 20 cm in length. Liver parenchyma is is mildly and heterogeneously echogenic which is non-specific, although this may be seen in irregular fatty infiltration. The caudate appears somewhat hypoechoic but this may be due to focal sparing rather than mass. Limited color and spectral Doppler demonstrates patency and appropriate flow direction in the main portal vein. GALLBLADDER, BILIARY TRACT: There is no biliary tract dilatation. The gallbladder contains at least one 0.6 cm polyp. There is also a small echogenic focus involving the anterior wall which may represent cholesterolosis. No definite shadowing gallstones. Gallbladder wall is not thickened.PANCREAS: Limited. There is significant peripancreatic/retroperitoneal adenopathy.RIGHT KIDNEY: 3.8 cm complex cyst arising from the midpole of the right kidney with thin to moderate septations. No definite soft tissue component. Smaller cyst present as well. No hydronephrosis.OTHER: Presumed small cyst in the lower pole of the left kidney. No hydronephrosis.Mild ascites.Splenectomy.
1. No biliary obstruction.2. Gallbladder polyp.3. Complex right renal cyst. Hepatomegaly.4. Ascites.5.