Right upper quadrant pain. Nausea and vomiting. LIVER: The liver parenchyma is mildly coarse and echogenic. The liver measures 16.2 cm in craniocaudal dimension. In the left hepatic lobe there is a 4.8 x 4.0 x 4.5 cm hypoechoic lesion with enhanced through transmission and small septations likely representing a complex cyst. Additional 1.1 cm left hepatic lobe cyst. Right hepatic lobe 2.6 x 1.9 x 1.9 cm lobular septated cyst.Normal hepatopedal portal venous blood flow at 0.2 m/s.BILIARY TRACT: The common duct is normal in caliber measuring 3 mm.The gallbladder is normally distended without wall thickening pericholecystic fluid or focal tenderness. There are small mobile shadowing gallstones.PANCREAS: The partially visualized pancreatic head and neck is unremarkable. The main pancreatic duct is normal in caliber. The remainder the pancreas is obscured by overlying bowel gas shadowing.SPLEEN: The spleen is normal in size measuring 8.7 cm without a discrete lesion.RIGHT KIDNEY: The right kidney measures 10.5 cm in length without hydronephrosis or shadowing nephrolithiasis. OTHER: The left kidney measures 12.1 cm in length without hydronephrosis or shadowing lithiasis.
1. Coarse and echogenic liver parenchyma suggestive of steatosis.2. Several hepatic cysts some of which are minimally complex.3. Cholelithiasis without specific evidence of acute cholecystitis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.