Reason: size of know cysts History: abdominal pain LIVER: The liver measures 19.1 cm in length and nodular in contour. The liver parenchymal echotexture is coarse. Right lobe dominant hepatic cyst measures 3.4 x 4.2 x 3.9, previously 2.6 x 3.9 x 4.1 cm. There is a less well-defined rounded, hypoechoic subcapsular structure in the right lobe measuring 1.9 x 2.1 x 2.1 cm, previously 1 x 1 x 1.2 cm which does have some cystic characteristics such as posterior acoustic enhancement. Additional hepatic cysts, some of which contain fine septations, appear not significantly changed.The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s.BILIARY TRACT: A hyperechoic focus measuring up to 6 mm along the gallbladder fundus wall may reflect a calcification and appears unchanged. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 10 cm in length. RIGHT KIDNEY: Kidney measures 10.4 cm in length. Normal echotexture. LEFT KIDNEY: Kidney measures 10 cm in length. Normal echotexture. OTHER: No significant abnormalities noted.
Cirrhotic liver with heterogeneous echotexture. Subcapsular structure in the right lobe which has some cystic characteristics has increased in size. Additional hepatic cysts not significantly changed. Echogenic focus along gallbladder wall which may reflect calcification, not significantly changed.