49-year-old male patient evaluation for preheart transplant workup. Evaluate for intra-abdominal process. LIVER:The liver measures 17.0 cm in length and demonstrates increased, coarsened hepatic echotexture with prominent periportal echos. Scattered subcentimeter anechoic lesions with posterior acoustic enhancement within both hepatic lobes are consistent with cysts. GALLBLADDER, BILIARY TRACT: The gallbladder is not visualized on this examination. No intra or extrahepatic ductal dilatation is identified. The common duct measures 2 mm in diameter.PANCREAS: The pancreas is not visualized secondary to overlying bowel gas.SPLEEN: The spleen measures 9.9 cm in length.KIDNEYS: The right kidney measures 10.2 cm and the left kidney measures 11.7 cm in length. No evidence of hydronephrosis. ABDOMINAL AORTA: The abdominal aorta is normal in caliber. A catheter is noted within the aorta.INFERIOR VENA CAVA: No significant abnormality noted.OTHER: The bladder is partially decompressed by a Foley catheter.
Coarsened hepatic echotexture with prominent periportal echoes; this appearance is nonspecific but has been described with hepatitis. Alternatively, prior CT demonstrates multiple cystic hepatic lesions likely representing biliary hematomas which might produce this appearance