Reason: History of liver cyst. Needs monitoring LIVER: The liver measures 12.7 cm in length. Hyperechoic, homogenous hepatic parenchyma. The portal vein is patent with normal directional hepatopetal flow, peak velocity 20.1 cm/s. No focal mass. No cystic lesions are identified.GALLBLADDER, BILIARY TRACT: The gallbladder is distended and folded upon itself. No shadowing stones. No biliary ductal dilatation. Negative sonographic Murphy's sign.PANCREAS: The pancreatic duct measures 0.2 cm.RIGHT KIDNEY: The right kidney measures 8.9 cm in length. The left kidney measures 9.0 cm in length. No shadowing stones or hydronephrosis.OTHER: The spleen is heterogeneous, which is nonspecific on ultrasound but may be consistent with prior granulomatous disease.
1. Findings consistent with hepatic steatosis or parenchymal dysfunction. No focal cystic lesions or masses are identified.2. Heterogeneous appearing spleen which is nonspecific on ultrasound but may be consistent with prior granulomatous disease.