History of renal cell cancer in 2008 status post partial right nephrectomy. LIVER: The liver is mildly echogenic. It is normal in size measuring 15 cm in craniocaudal dimension. No focal lesion or biliary ductal dilatation with the common duct measuring 4 mm. Normal hepatopedal portal venous blood flow at 0.3 m/s. BILIARY TRACT: Contracted gallbladder without focal tenderness or shadowing gallstones. No extrahepatic biliary ductal dilatation.PANCREAS: The pancreas is poorly visualized due to overlying bowel gas.SPLEEN: Limited evaluation of the spleen which appears normal in size measuring 9.8 cm.RIGHT KIDNEY: The right kidney measures 9.6 cm in length without hydronephrosis. The renal cortex appears mildly echogenic and lobular. No discrete lesion. OTHER: The left kidney measures 11.7 cm in length without hydronephrosis. A 3.3 cm left renal cyst is noted.
No specific findings to account for the patient's reported symptoms. Bowel obscures the previously seen splenic lesion. If there is continued clinical concern re-imaging with CT/MR may be considered. 