74-year-old male with nodular liver concerning for cirrhosis. History of right upper quadrant pain. LIVER: Measures 15.0 in length. Cirrhotic morphology with increased hepatic echogenicity but no discrete focal lesion. Patent portal vein with antegrade flow. BILIARY TRACT: Cholelithiasis with gallbladder wall thickening. Choledocholithiasis better appreciated on recent MRCP examination. Dilation of the common bile duct to 0.8 cm.PANCREAS: The pancreas is incompletely imaged due to bowel gas. The imaged portions of the pancreas appear unremarkable. SPLEEN: Unremarkable in size and echogenicity. KIDNEY: 1.2 cm right renal cyst without septation or solid component. No hydronephrosis, nephrolithiasis, or solid mass. OTHER: Small pleural effusions.
1. Cirrhotic liver morphology with increased echogenicity consistent with chronic liver disease.2. Cholelithiasis and gallbladder wall thickening with common bile duct dilation. Choledocholithiasis is better appreciated on recent MRCP examination.3. Small pleural effusions.