78-year-old female patient with chronic right flank pain. Assess for liver metastases. LIVER: The liver measures 15.7 cm in length and demonstrates increased parenchymal echogenicity. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.13 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. Sonographic Murphy's sign is negative. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 2 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 9.0 cm in length. No evidence of hydronephrosis. There is a 3.3 x 3.7 x 2.4 cm minimally complex right upper pole renal cyst.OTHER: The left kidney measures 9.4 cm in length. No evidence of hydronephrosis.The spleen measures 8.1 cm in length.
1. Increased hepatic parenchymal echogenicity without focal hepatic lesion. 2. Minimally complex right upper pole renal cyst.