Male 44 years old; Reason: any sign of liver or gallbladder pathology History: RUQ pain LIVER: The liver measures 17.3 cm in length. There is coarse increased echogenicity of the liver parenchyma. There are 3 echogenic lesions within the left lobe, the largest measuring 1.4 cm x 1.0 cm x 0.9 cm. These are not seen on prior CT with PE protocol. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow measured at 19.5 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 2.3 mm. No stones are seen. No pericholecystic fluid. The common bile duct measures 2.9 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 9.8 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 10.5 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen. A renal cyst is seen at the upper pole measuring 0.9 cm x 1.0 cm x 1.0 cm.LEFT KIDNEY: The left kidney measures 12.6 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.OTHER: Urinary bladder is visualized appears decompressed
1. There is coarse increased echogenicity within the liver compatible with infiltration/hepatocellular dysfunction.2. Three hyperechoic lesions are seen within the left lobe of the liver not visualized on prior CT with PE protocol. While these lesions may represent benign hemangiomas, they are indeterminate on ultrasound and recommend a dedicated CT with IV contrast for further characterization.3. No evidence of cholelithiasis or acute cholecystitis is seen.