Female; 63 years old. Reason: Sharp rise in LFTs, s/p stem cell transplant, concern for occlusive process History: Increase in LFTs LIVER: The liver measures 15.3 cm in length. The liver contour is smooth. The parenchyma is increased in echogenicity and coarse in echotexture. Within the left lobe of the liver is a 3.2 x 2.2 x 2.8 cm complex cyst which is not significant changed. No worrisome mass is identified.The main portal vein is patent and demonstrates normal directional flow with a peak velocity of 0.46 m/sec.BILIARY TRACT: Status post cholecystectomy. The common duct measures 8 mm. There is no intrahepatic biliary ductal dilatation.PANCREAS: The head and body of the pancreas appear unremarkable. The tail is obscured by overlying bowel gas.SPLEEN: The spleen measures 12.6 cm in length.RIGHT KIDNEY: The right kidney measures in 12.3 length. The cortex is normal in echogenicity. There is no hydronephrosis, shadowing renal stone, or worrisome mass. OTHER: The left kidney measures 11.6 cm in length. The cortex is normal in echogenicity. There is no hydronephrosis, shadowing renal stone, or worrisome mass.
1.Echogenic and coarse liver parenchyma consistent with chronic liver disease and/or hepatic steatosis. 2.Stable hepatic cyst.