Abnormal liver function tests, history of bile duct stent, and liver lesion seen on prior CT, and history of right renal cell carcinoma. LIVER:The liver measures 14 cm in length. The echogenicity of the liver parenchyma is normal. The known dome lesion within segment 8 of the liver, seen on prior CT, cannot be visualized on this ultrasound due to its proximity to the lung. No new worrisome masses are noted. There is no intrahepatic ductal dilation seen. No ascites. The portal vein is patent with hepatopetal flow measuring 49.7 cm/s.GALLBLADDER, BILIARY TRACT: The gallbladder is surgically absent. Common bile duct stent is unchanged.PANCREAS: The pancreas is not well-visualized due to bowel gas.SPLEEN: The spleen measures 13.5 cm in length. No significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 12.9 cm in length. The echogenicity of the cortex is normal. There is no hydronephrosis seen, no stones, and no new worrisome masses. The right kidney defect is again demonstrated, seen on prior CT. This defect measures 3.1 cm x 2 cm x 3.8 cm.LEFT KIDNEY: The left kidney measures 13.4 cm in length. The cortex has normal echogenicity. There is no hydronephrosis, no stones, and no new worrisome masses noted.
1. Liver parenchyma appears normal, no new worrisome masses, intrahepatic ductal dilation, or ascites is seen. Common bile duct stent is visualized appears unchanged.2. The known dome lesion within segment 8 of the liver is not well-visualized on this ultrasound due to its proximity to the lung. This was seen on prior CT.3. Defect in the right kidney is again demonstrated as seen on prior CT.