42 years old, Male, Reason: screning for aaa, pre-OHT History: PRE-CARDIAC TRANSPLANT evaluation LIVER: The liver is slightly enlarged measuring 17.7 cm. Focus of increased echogenicity in the liver measuring 0.8 x 0.7 x 0.7 cm may represent a hemangioma although is incompletely characterized on this ultrasound examination. This lesion may be further characterized by MRI if clinically warranted. The portal vein is patent with hepatic pedal flow at 0.3 m/sec.GALLBLADDER, BILIARY TRACT: The gallbladder is somewhat contracted without evidence of cholelithiasis or cholecystitis. The common bile duct measures 0.3 cm.PANCREAS: Visualized portions of the pancreas are unremarkable.SPLEEN: The spleen measures 9.3 cm in length. No significant abnormalities are noted.KIDNEYS: The right kidney measures 11.5 centimeters in length. Left kidney measures 8.8 cm Increased echogenicity of the kidneys bilaterally is consistent with medical renal disease. No evidence of hydronephrosis or shadowing calculus. ABDOMINAL AORTA: No evidence of focal dilatation of the abdominal aorta. The abdominal aorta is mildly tortuous with a focus of wall calcification of the mid aorta. The proximal aorta measures 1.1 x 1.5 x 1.4 cm. The mid aorta measures 1.5 x 1.4 x 1.3 cm. The distal aorta measures 1.3 x 1.1 x 1.3 cm. Right iliac artery measures 0.9 cm. The left iliac artery measures up to 1.1 cm.INFERIOR VENA CAVA: No significant abnormality noted.OTHER: The bladder is not completely distended. There is a hypoechoic focus in the anterior portion of the visualized prostate, best seen on image time stamped 10:58:34 which is nonspecific on this ultrasound examination which can be correlated with patient's PSA.
1. Subcentimeter focus of increased echogenicity within the liver is incompletely characterized on this ultrasound examination. This maybe further characterized with dedicated MRI if clinically warranted, but statistically favors a hemangioma.2. No evidence of focal dilatation of the abdominal aorta.3. Hypoechoic focus in the anterior portion of the visualized prostate is nonspecific on this ultrasound examination. Please correlate with patient's PSA.