71-year-old female patient with right upper quadrant discomfort and liver lesion. LIVER: The liver measures 14.8 cm in length. There is at least two hypoechoic lesions within the right hepatic lobe which do not meet criteria for simple cysts. The largest of these measures 0.9 x 0.8 x 1.0 cm. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: The gallbladder is surgically absent. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 4 mm in diameter.PANCREAS: The pancreas is poorly visualized secondary overlying bowel gas. Gas.RIGHT KIDNEY: The right kidney measures 9.0 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 8.7 cm in length. No evidence of hydronephrosis. There is a 4 mm nonobstructing stone within the mid to lower pole.The spleen measures 8.8 cm in length.
1. Hypoechoic liver lesions which are not definitely cysts; dedicated contrast enhanced CT/MRI of the liver may be considered for further evaluation.2. Non-obstructing left nephrolithiasis. 