Reason: assess for cirrhosis, biliary tree abnormalities History: chronic hepatitis c with transaminitis LIVER: The liver measures 17.9 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.19 m/s.BILIARY TRACT: Cholelithiasis including stone in gallbladder neck. No 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.SPLEEN: No significant abnormalities noted. The spleen measures 8.6 cm in length. RIGHT KIDNEY: Kidney measures 10.0 cm in length. Increased parenchymal echogenicity is suggestive of medical renal disease/parenchymal dysfunction. No hydronephrosis or shadowing calculi. In the superior pole of the right kidney, there is a cystic structure with suggestion of fine internal septations.LEFT KIDNEY: Kidney measures 12.2 cm in length. Increased parenchymal echogenicity is suggestive of medical renal disease/parenchymal dysfunction. No hydronephrosis or shadowing calculi. Simple appearing cyst in the left kidney measuring 4.2 x 4.2 x 3.7 cm.OTHER: No significant abnormalities noted.
1.Cholelithiasis without sonographic evidence of acute cholecystitis or biliary ductal dilatation.2.Echogenic kidneys suggestive of medical renal disease.3.Minimally complex right renal cyst, with thin internal septations suggested.