Acute liver failure LIMITED ABDOMENLIVER: Coarse echogenic liver echotexture without mass. Liver length 23.3 cm.BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. 11 cm in length RIGHT KIDNEY: No significant abnormalities noted. 14.2 cm in lengthOTHER: 3.5 by 5 x 3.8 cm solid hypoechoic mass arising from the midpole of the left kidney. Left kidney 11.9 cm in length. Trace ascites. Right pleural effusion.
Hepatomegaly with coarse echogenic parenchyma consistent with fatty infiltration/parenchymal dysfunction without mass or ductal dilatation. Patent hepatic vessels with normal directional flow. Trace ascites.Worrisome mass lesion arising from midportion of left kidney. A neoplastic lesion cannot be excluded. This lesion is also appreciable on the noncontrast outside CT. Would recommend correlation with dedicated renal CT.