67 years old, Female, Reason: Eval for cirrhotic morphology of liver History: Low VItamin K LIVER: The liver measures 14.4 cm in length. The liver is echogenic consistent with a fatty infiltration. Multiple focal hepatic lesions are indeterminate on this ultrasound exam. Largest hypoechoic lesion in the right hepatic lobe measures 1.2 x 1.1 x 0.9cm. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.3 m/s.BILIARY TRACT: The gallbladder is nondistended. There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: The spleen is not well-visualized on this exam.RIGHT KIDNEY: Kidney measures 9.0 cm in length. Normal echotexture. No hydronephrosis. Shadowing catheter was present within the right kidney.LEFT KIDNEY: Kidney measures 9.0 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted.
1. The liver is echogenic consistent with fatty infiltration.2. No nodularity to suggest cirrhosis.3. Multiple hypoechoic lesions within the liver which are indeterminate on this exam. Dedicated liver follow-up imaging is recommended.Findings discussed with Dr. Minic at time of dictation.