68 year old male with abdominal distention, hepatomegaly on exam. LIVER: Heterogeneous echotexture of the liver measuring 15.7 cm in length. Portal vein is patent with appropriate directional flow; peak velocity measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Small shadowing stones within the gallbladder. No pericholecystic fluid. No gallbladder wall thickening. Sonographic Murphy's sign is negative. Common duct measures 5 mm in thickness. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Visualized portions of the pancreas are unremarkable.RIGHT KIDNEY: Normal echogenicity of the right kidney measuring 10.8 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Normal echogenicity of the left kidney measuring 10.3 cm in length. No hydronephrosis or shadowing calculi are noted. Exophytic lower pole cyst measures 1.4 cm x 1.9 cm x 1.9 cm.Normal echogenicity of the spleen measuring 9.1 cm in length.
1. Heterogeneous echotexture of the liver which may represent areas of focal fatty sparing, however recommend MRI or triple phase CT scan for further evaluation. 2. Cholelithiasis with no evidence of cholecystitis.3. Exophytic left renal cyst. Findings were discussed with Dr. Katarina Veskovic by phone on 3/18/2015 at 4:20 PM. 