76-year-old male patient with history of gallbladder polyp. LIVER: The liver measures 16.8 cm in length. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: A polyp noted near the gallbladder neck measures up to 9 mm, previously 5 mm in the largest dimension. Common tail artifact within the gallbladder wall is suggestive of adenomyomatosis. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 3 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. A subcentimeter anechoic lesion within the right mid pole likely represents a cyst.OTHER: The left kidney measures 10.9 cm in length. No evidence of hydronephrosis. A 1.6 x 1.8 cm hypoechoic lesion within the left midpole does not meet criteria for a simple cyst.The spleen measures 11 cm in length.
1. Interval increase in size of a gallbladder polyp measuring up to 9 mm.2. Indeterminant hypoechoic left midpole renal lesion; consider pre- and post-contrast imaging as clinically indicated. Findings communicated via telephone to V. Buie at 1044 hrs on 11/6/2015.