Male 65 years old Reason: eval for lesions, assess hepatic vessel patency History: s/p OLT for HBV in October 2004, recurrent HBV LIVER: Liver measures 11.7 cm. Small liver cyst is present measuring 1.0 x 0.7 x 1.0 cm. No suspicious hepatic mass identified.BILIARY TRACT: Patient is status post cholecystectomy. No intra or extra hepatic biliary ductal dilatation. Common bile duct measures 0.7 cm.PANCREAS: Head of the pancreas is normal in appearance without pancreatic ductal dilatation. Body and tail of the pancreas are obscured by overlying bowel gas.SPLEEN: Spleen is normal in appearance measuring 12.5 cm.KIDNEYS: Cortical echogenicity is increased bilaterally which can be seen in the setting of medical renal disease. No hydronephrosis, shadowing calculi, or mass. Right kidney measures 9.0 cm. Within the right kidney there is a small anechoic cyst measuring 1.3 x 1.3 x 1.1 cm. Left kidney measures 10.9 cm. Within the left kidney there is a small anechoic cyst measuring 2.7 x 2.6 x 3.6 cm.OTHER: No significant abnormalities noted.
1.Echotexture of the liver within normal limits. Unchanged small hepatic cyst. Patent hepatic vessels with normal directional flow.2.Echogenic renal parenchyma is again noted, which can be seen in the setting of medical renal disease.