Female 58 years old Reason: low grade lymphoma/CLL evaluate for intra-abdominal adenopathy, r/o hydronephrosis History: low grade lymphoma/CLL evaluate for intra-abdominal adenopathy, r/o hydronephrosis LIVER: Mildly coarse and heterogeneous echotexture of the liver. Again seen is a hyperechoic lesion, most consistent with hemangioma measuring 1.4 x 1.0 cm, unchanged. Main portal vein is patent with a peak velocity of 23.9 cm/s.BILIARY TRACT: Gallbladder is normal in appearance. No gallstones. No intra or extra hepatic biliary ductal dilatation. Common bile duct measures 3 mm. There is a small lymph node adjacent to the neck of the gallbladder near the porta hepatis measuring 1.0 x 1.2 x 1.0 cm.PANCREAS: Head of the pancreas is normal in appearance without pancreatic ductal dilatation. Body and tail of the pancreas are scattered by overlying bowel gas. Adjacent to the pancreatic head there is a hypoechoic nodule which may represent a peripancreatic lymph node measuring 2.8 x 2.2 cm.SPLEEN: Spleen is normal in appearance measuring 12.0 cm.KIDNEYS: Normal cortical medullary differentiation. No hydronephrosis, shadowing calculi, or mass. Right kidney measures 10 cm. Left kidney measures 9.3 cm. OTHER: No significant abnormality.
1.Mildly enlarged peripancreatic and porta hepatis lymph nodes.2.Hyperechoic focus in the liver likely represents a hemangioma, unchanged.