Female; 59 years old. Reason: Please eval ruq for signs of abscess and liver abnormalities in a pt with gb cancer History: gallbaldder ca, fevers LIVER: The liver measures 16.3 cm in length. The liver is echogenic with a coarsened echotexture. Multifocal, confluent hypoechoic masses are seen in both lobes of the liver and occupy the majority of the right lobe. There is mild ascites.The main portal vein is patent with hepatopetal flow and a peak velocity of 0.56 m/sec.BILIARY TRACT: Status post cholecystectomy. Mild bilobar intrahepatic biliary ductal dilatation. A stent is seen within the common duct which measures 6 mm in diameter.PANCREAS: The head and body of the pancreas are unremarkable. The tail is obscured by overlying bowel gas.SPLEEN: The spleen measures 7.9 cm in length.RIGHT KIDNEY: The right kidney measures 9.4 cm in length. The cortex normal in echogenicity There is no hydronephrosis, shadowing renal stone, or worrisome mass identified. OTHER: The left kidney measures 11.1 cm in length. The cortex is normal in echogenicity. There is no hydronephrosis, shadowing renal stone, or worrisome mass identified.
1.Bilobar multifocal confluent liver lesions are favored to represent neoplasm/malignancy. There is no definitive evidence of abscess. Correlation with cross-sectional imaging is recommended for further evaluation.2.Mild bilobar intrahepatic biliary ductal dilatation.3.Mild ascites.