67-year-old male patient with multiple myeloma status post auto stem cell transplant. Elevated liver function tests. LIVER: The liver measures 14.9 cm in length. Hepatic parenchymal echogenicity is increased. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 4 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 11.1 cm in length. No evidence of hydronephrosis. There are two hypoechoic regions within the lower pole of the right kidney within the sinus and cortex. These appear to correlate to cysts on a prior CT.OTHER: The left kidney measures 10.1 cm in length. No evidence of hydronephrosis.The spleen measures 11.9 cm in length.
1. Increased hepatic parenchymal echogenicity which can be seen with hepatic steatosis.2. Right renal lower pole hypoechoic lesions which may correlate to cysts when compared to prior CT.