Female 69 years old Reason: rule out gallbladder, liver pathology History: right upper shoulder pain with inspiration LIVER: Liver measures 17 cm. No focal lesions. Normal echogenicity.BILIARY TRACT: There are multiple subcentimeter cholesterol polyps within the gallbladder. No evidence of gallstones. No evidence of intra or extrahepatic biliary dilatation.PANCREAS: Not well visualized due to overlying bowel gas.SPLEEN: Spleen measures 8.7 cm, normal in size.RIGHT KIDNEY: No evidence of hydronephrosis in both kidneys. There is a 1.5 cm in diameter simple cyst within the right kidney. Normal echogenicity of the right kidney.Within the left kidney there is a large complex cyst measuring 10 x 9 cm. This cyst contains thick septations and mural irregularity and internal echoes. CT or MRI of the kidneys with contrast is recommended to exclude a renal neoplasm. OTHER: No significant abnormalities noted.
Complex left renal mass. Cystic Renal cell carcinoma cannot be excluded. Contrast-enhanced CT or MRI is recommended for further evaluation.Multiple small cholesterol polyps within the gallbladder.Dr. Blackman was notified and acknowledged about the above findings at the time of the dictation 