Reason: RUQ; h/o HCV; abdominal pain. Per electronic medical record, also history of end-stage renal disease. LIVER: The liver measures 19.2 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.25 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 9.4 cm in length. RIGHT KIDNEY: Kidney measures 12.5 cm in length. Most of the renal parenchyma is replaced by innumerable cysts, some with internal complexity.LEFT KIDNEY: Kidney measures 14.0 cm in length. Most of the renal parenchyma is replaced by innumerable cysts, some with internal complexity.OTHER: No significant abnormalities noted.
1.Innumerable cysts in both kidneys compatible with acquired cystic renal disease in the setting of dialysis.2.No focal hepatic lesions identified.