66-year-old male with cirrhosis presents with concern for ascites. LIVER:The liver measures 23.1cm. There is an approximately 1.6 x 1.6 x 1.4 cm round anechoic area with minimal complexity consistent with a minimally complex hepatic cyst. The parenchyma has increased, coarse echogenicity. No worrisome masses, intrahepatic biliary dilation, or ascites. The portal vein is patent with normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: The gallbladder is nondistended, no evidence of stones or sludge. The gallbladder wall measures 0.3 cm. No pericholecystic fluid. The common duct measures 0.6 cm.PANCREAS: Evaluation the pancreas is limited due to overlying bowel gas.SPLEEN: The spleen measures 8.6 cm without sonographic abnormalities.KIDNEYS: Right kidney measures 12.7 cm. The left kidney measures 13.2 cm. The cortices have normal echogenicity. No shadowing calculi, hydronephrosis, or solid mass. There is an approximately 3.3 x 2.8 x 2.8 round well-defined anechoic area with posterior acoustic shadowing consistent with a simple renal cyst in the right kidney. OTHER: No significant abnormality noted.
1. Increased, coarse echogenicity of liver consistent with chronic liver disease/parenchymal dysfunction. With comparison to a prior CT dated July 1, 2016, the increased echogenicity is consistent with fatty liver. No worrisome mass or ascites.2. Hepatomegaly.