Prostate cancer. Chronic cholecystitis. Chronic kidney disease. Fever. LIVER: Non-cirrhotic liver morphology. Normal parenchymal echogenicity. An ill-defined 3.4 cm cystic-appearing lesion is noted in the right hepatic lobe. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Pneumobilia is noted, similar to the prior CT. The gallbladder is contracted with gallstones and biliary sludge.PANCREAS: The pancreas is obscured by bowel gas.KIDNEYS: The right kidney is 12.3 cm in length, with a benign-appearing 4.4 cm cyst. The left kidney is 9.1 cm in length, with a benign-appearing 5.7 cm cyst. The renal parenchyma is echogenic bilaterally. No suspicious renal lesions are evident. No hydronephrosis is seen.BLADDER: No significant abnormality noted.SPLEEN: 9.1 cm in length, without focal lesions evident.ABDOMINAL AORTA: Patent, without significant abnormality noted.INFERIOR VENA CAVA: Patent, without significant abnormality noted.OTHER: No significant abnormality noted. No significant abdominal free fluid is identified.
1. 3.4 cm cystic-appearing lesion in the right hepatic lobe. Further evaluation with CT is recommended.2. Echogenic renal parenchyma bilaterally, compatible with medical renal disease.Findings and recommendations discussed with the ordering physician by telephone at 3:00 PM on 12/16/2015.