Hyperbilirubinemia LIVER: Mildly coarse liver echotexture without mass. Liver length 19.2 cm.GALLBLADDER, BILIARY TRACT: Gallbladder sludge without acute inflammation or ductal dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 10.2 cm in length OTHER: Left renal cyst. Left kidney 9.6 cm in length. No ascites. Abnormally enlarged spleen measuring 19.2 cm in length. 4.2 x 4 x 4.3 cm mixed echogenicity mass within the inferior spleen.
Mild hepatomegaly associated with mildly coarse liver echotexture suggestive for parenchymal dysfunction without mass or ductal dilatation. Gallbladder sludge without acute inflammation. No ascites.Moderately severe splenomegaly with discrete mass; a neoplastic etiology cannot be excluded. Further characterization with contrast cross sectional imaging suggested