Elevated LFTs. LIVER: Non-cirrhotic liver morphology. Echogenic hepatic mass identified, which measures 11.5 x 7.0 x 8.8 cm. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Cholelithiasis and biliary sludge noted in the gallbladder. No gallbladder wall thickening or sonographic Murphy sign.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 10.3 cm in length. A questionable echogenic area in the midpole may be artifactual or represent a soft tissue mass. No hydronephrosis is present.The left kidney is 10.1 cm in length. No suspicious renal lesions are evident. No hydronephrosis is present.SPLEEN: 10.2 cm in length, without focal lesions evident.ABDOMINAL AORTA: Patent, without aneurysm.INFERIOR VENA CAVA: Patent.OTHER: No ascites. Prostatomegaly, measuring 7 cm in widest dimension.
1. 11.5 cm indeterminate hepatic mass. Evaluation with CT or MRI is recommended.2. Possible right renal mass versus artifact. Evaluation with CT or MRI is recommended.3. Cholelithiasis without evidence of cholecystitis.