80-year-old female with metastatic renal cell carcinoma, pancreatic head mass, elevated LFTs. Evaluate for bile duct dilation. LIVER:The liver measures 17.2 cm in length. The liver is coarsely echogenic. No new worrisome masses are noted within the liver. There is no intrahepatic ductal dilation. No ascites. The portal vein is patent with hepatopetal flow measuring 21.4 cm/s.GALLBLADDER, BILIARY TRACT: The gallbladder is surgically absent. The common bile duct measures 0.9 cm. This is stable from prior CT.PANCREAS: Hypoechoic mass noted in the head of the pancreas measuring 0.6 cm.SPLEEN: The spleen is surgically absentRIGHT KIDNEY: The right kidney measures 12.4 cm in length. The cortex is normal in echogenicity. There is no hydronephrosis, and there are no stones. There is a mass that is isoechoic to the kidney cortex measuring 3.1 cm x 2.8 cm x 3.2 cm. This corresponds with known mass seen on prior CT, and appears stable in size. No new worrisome masses are seen.
1. There is coarse increased echogenicity within the liver compatible with fatty liver/parenchymal dysfunction. No new worrisome masses are visualized within the liver.2. The common bile duct is enlarged, however this is stable from prior CT. There is no intrahepatic ductal dilation seen.3. Right upper pole renal mass is again visualized as seen on prior CT. This appears stable in size from prior CT.