Female 57 years old; Reason: Evaluate for etiology of nausea with RUQ ultrasound History: Constant nausea LIVER: The liver measures 16.5 cm in length. There is increased echogenicity of the liver parenchyma. In the left lobe hepatic cyst is seen measuring 1.9 cm x 1.5 cm x 1.6 cm. A hepatic cyst is seen in the right lobe of the liver on the periphery measuring 3.0 cm x 3.7 cm x 3.4 cm. Another smaller hepatic cysts seen in the right lobe measuring 1.0 cm x 1.1 cm x 1.2 cm. The main portal vein is patent with normal hepatopetal flow measured at 25.9 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 2.0 mm. Multiple shadowing stones are seen. No sonographic Murphy sign. No pericholecystic fluid. The common bile duct measures 5.0 mm in diameter. No intrahepatic ductal dilation is seen.PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 9.1 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 10.6 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 10.5 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.
1. Cholelithiasis is seen without evidence of acute cholecystitis.2. The liver is increased echogenicity compatible with hepatocellular dysfunction/fatty infiltration. Focal hepatic cysts are seen in the right and left lobes.