Male 63 years old; Reason: R/O liver fibrosis History: long standing hx of HCV LIVER: The liver measures 14.0 cm in length. There is increased echogenicity of the liver parenchyma. No focal hepatic lesions. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow measured at 20.9 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 2.1 mm. No stones are seen, there is very minimal sludge. No pericholecystic fluid. The common bile duct measures 2.8 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 8.2 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 13.6 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones are seen. There is a mildly complex cyst revisualized at the mid to upper pole measuring 3.6 cm x 3.9 cm x 3.6 cm. This previously measured 3.5 cm x 3.6 cm x 3.4 cm. Again demonstrated is thin septation within the cyst. A simple renal cyst is redemonstrated at the lower pole measuring 3.8 cm x 4.2 cm x 3.6 cm.LEFT KIDNEY: The left kidney measures 12.7 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.
1. The liver has increased echogenicity compatible with fatty infiltration/hepatocellular dysfunction. No worrisome masses or intrahepatic ductal dilation are seen.2. Mildly complex renal cyst at the right mid to upper pole appears relatively stable in size from prior ultrasound.