Elevated liver enzymes. Abdominal pain. LIVER: Multiple 1-2 cm hypoechoic hepatic solid masses are noted. A round hypoechoic right posterior liver lesion measures 2.2 x 1.9 x 1.8 cm. Non-cirrhotic liver morphology. Normal background parenchymal echogenicity. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Biliary sludge noted, without evidence of cholecystitis. No sonographic Murphy's sign noted.PANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 12.0 cm in length. The left kidney is 11.8 cm in length. No suspicious renal lesions are evident. No hydronephrosis is seen.SPLEEN: 10.4 cm in length, without focal lesions evident.OTHER: No significant abnormalities noted. No abdominal free fluid noted.
1. Multiple hepatic masses. Evaluation with CT or MRI is recommended.2. Biliary sludge. No evidence of cholecystitis.