Elevated LFTs. LIVER: The liver is mildly coarse and echogenic. It measures 14 cm in length. No intrahepatic biliary ductal dilatation or focal lesion is identified. The liver morphology and capsule is smooth without specific stigmata of cirrhosis. Normal hepatopedal portal venous blood flow at 24 cm/s.BILIARY TRACT: Normally distended gallbladder without gallstones, wall thickening, pericholecystic fluid or focal tenderness. No extrahepatic biliary ductal dilatation with the common duct measuring 2 mm.PANCREAS: The pancreas is obscured by overlying bowel gas shadowing.SPLEEN: The spleen was not imaged.RIGHT KIDNEY: 1.4 x 1.3 x 1.5 cm right renal superior pole solid lesion better characterized on recent CT. OTHER: No significant abnormalities noted.
Coarse echogenic liver parenchyma suggesting fatty infiltration and/or parenchymal dysfunction. No biliary ductal dilatation or focal lesion.Approximately 1.5 cm right renal superior pole solid lesion, suspicious for neoplasm and better characterized on recent CT.