62-year-old female patient with elevated LFTs. Question of any architectural abnormality in the liver. LIVER: The liver measures 20.3 cm in length. Hepatic parenchymal echogenicity is increased. There is a 6.0 x 6.8 x 6.4 cm right hepatic cyst. An additional 2.8 cm hepatic cyst is noted. Main portal vein flow is hepatopetal and measures 0.2 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 head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 12.6 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 11.3 cm in length. There is mild left hydronephrosis.The spleen measures 10.7 cm in length.
1. Hepatic steatosis.2. Two simple hepatic cysts.3. Mild left hydronephrosis. Findings discussed with J. Reyes-Genere via telephone prior to dictation.