50-year-old female patient with several, subcentimeter, hypervascular foci in the liver seen in 2012. Follow-up liver lesions. LIVER: The liver measures 17.3 cm in length. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 3 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 10.2 cm in length. There is prominence of the right renal collecting system which may reflect an extra renal pelvis.OTHER: The left kidney measures 11.5 cm in length. There is prominence of the left renal collecting system which may reflect an extra renal pelvis.The spleen measures 9.8 cm in length.The right pleural effusion is noted.
1. No focal hepatic lesion is detected on this sonographic examination; however, contrast enhanced CT with arterial phase is recommended to accurately compare to prior studies.2. Right pleural effusion.