Male; 72 years old. Reason: pancreas/RUQ History: increasing amylase, abdominal pain LIVER: The liver measures 17.6 cm in length. The liver surface is smooth, the parenchyma is heterogeneous in echotexture. No focal hepatic lesion is identified. There is mild ascites. The main portal vein is patent and demonstrates hepatopetal flow with a peak velocity of 0.3 m/sec.BILIARY TRACT: There is no cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The common duct measures 6 mm in diameter. There is no intrahepatic biliary ductal dilatationPANCREAS: The pancreas is obscured by overlying bowel gas.SPLEEN: The spleen measures 7.8 centimeters in length.KIDNEYS The right kidney measures 15.9 cm in length. Multiple anechoic lesions are seen in the right kidney, largest measures 5.2 x 5.3 x 4.4 cm. There is no hydronephrosis or shadowing renal stone. The left kidney measures 19.8 cm in length and contains multiple and lesions, the largest measures 10.6 x 10.9 x 1.8 cm. There is no hydronephrosis or shadowing renal stone. OTHER: Bilateral pleural effusions.
1.Limited evaluation of the pancreas due to overlying bowel gas.2.No cholelithiasis or evidence of acute cholecystitis.3.Multiple simple appearing renal cysts bilaterally. The largest on the left measures up to 10.9 cm.4.Heterogeneous liver parenchyma compatible with hepatic steatosis/parenchymal dysfunction.5.Bilateral pleural effusions.