Female 75 years old; Reason: Possible splenomegaly on exam. Evaluate for hepatosplenomegaly. History: left upper quadrant pain and dullness in Traube's space. LIVER: The liver measures 13.8 cm in length. There is increase echogenicity of the liver parenchyma. No intrahepatic ductal dilation is seen. There is a anechoic cyst measuring 5.9 cm x 6 cm x 7.1 cm located superiorly within the liver, as seen on prior CT. Additionally, there is another anechoic cyst located inferiorly within the liver measuring 5.8 cm x 4.8 cm x 7.5 cm. This was also seen on prior CT. The main portal vein is patent with normal hepatopetal flow measured at 15.2 cm/s. GALLBLADDER/BILIARY TRACT: The common bile duct measures 10.7 mm in diameter. The common hepatic duct measures 0.6 cm.PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 7.8 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 12.2 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 12.3 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.
No sonographic evidence of hepatosplenomegaly. Revisualization of two simple cysts within the liver seen on prior CT. The liver also appears echogenic which is compatible with fatty infiltration/parenchymal dysfunction.