66-year-old male with gram-negative bacteremia, evaluate for possible infectious source. LIVER: Measures 15.7 cm in length. Increased hepatic echogenicity without discrete focal lesion. Patent portal vein with antegrade flow. BILIARY TRACT: Cholelithiasis without acute inflammation. Mild bilobar intrahepatic as well as extra hepatic ductal dilatation again noted.PANCREAS: The pancreas is incompletely imaged due to bowel gas. Dilated main pancreatic duct measures 0.9 cm.SPLEEN: Unremarkable in size and echogenicity. KIDNEY: 2.1 cm simple right renal cyst and 5.9 x 5.5 x 4.7 cm left renal cyst with thin internal peripheral septations. Increased renal echogenicity without hydronephrosis, nephrolithiasis, or solid mass. OTHER: 2.6 x 2.3 cm lesion adjacent to the pancreatic head correlates with tumor seen on recent CT.
1.Cholelithiasis but no evidence of acute cholecystitis. No specific findings to account for the patient's bacteremia. No change in mild intrahepatic and intrahepatic ductal dilatation.2.Increased hepatic echogenicity consistent with hepatic steatosis or parenchymal disease.3.Increased renal echogenicity consistent with medical renal disease without hydronephrosis. Renal cysts as described above.4.Peripancreatic tumor and pancreatic ductal dilation correlate with findings from recent CT examination.