Female 77 years old; Reason: 77 yo with advanced fibrosis and GB polyps History: none LIVER: The liver measures 18.5 cm in length. There is coarse increased echogenicity of the liver parenchyma. No focal hepatic lesions. No intrahepatic ductal dilation is seen. A hepatic cyst is seen within the right lobe of the liver measuring 1.3 cm x 1.3 cm x 1.7 cm. The main portal vein is patent with normal hepatopetal flow measured at 14.9 cm/s. No ascites is seen.GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 1.6 mm. No stones are seen. No pericholecystic fluid. Negative sonographic Murphy sign. Several small gallbladder polyps are revisualized the largest measuring 0.5 cm x 0.3 cm x 0.4 cm. The common bile duct measures xx mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 8.7 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 9.1 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 10.1 cm in length. The cortex has normal echogenicity. Minimal hydronephrosis is present. No stones or worrisome masses are seen.
1. The liver has coarse increased echogenicity compatible with fatty infiltration/hepatocellular dysfunction. No ascites is seen. No worrisome hepatic lesions visualized.2. Several gallbladder polyps are revisualized. No evidence of cholelithiasis or acute cholecystitis are seen.3. Minimal hydronephrosis is present on the left.