Male; 68 years old. Reason: evaluate liver for portal venous flow and biliary tree patentcy History: transaminitis LIVER: The liver measures 18.3 cm in length. The liver contour is smooth. The parenchyma is increased in echogenicity with coarse echotexture. Within the left lobe of the liver is a 2.5 x 2.5 x 1.9 cm simple cyst. No worrisome masses identified. There is no ascites.The main portal vein is patent with a peak velocity of 0.3 m/sec.BILIARY TRACT: The gallbladder is normal in appearance. The common duct measures 5 mm in diameter. There is no intrahepatic biliary ductal dilatation.PANCREAS: The pancreas is not well visualized due to overlying bowel gas.SPLEEN: The spleen measures 9.5 cm in length.RIGHT KIDNEY: The right kidney measures 13.2 cm in length. The cortex is normal in echogenicity. There is no hydronephrosis, shadowing renal stone, or worrisome mass. OTHER: The left kidney measures 13.4 cm in length. The cortex is normal in echogenicity. No hydronephrosis, shadowing stone, or worrisome mass.Small right pleural effusion.
1.Mild hepatomegaly. Course and echogenic liver compatible with parenchymal dysfunction.2.Patent main portal vein. No biliary ductal dilatation.3.Simple liver cyst.