70-year-old male patient with pain to right abdomen/liver. LIVER: The liver measures 14.2 cm in length. Multiple cystic lesions are noted within both hepatic lobes, some of which have septations. The largest within the right hepatic lobe near the hilum measures 3.2 x 4.1 x 4.3 cm. The largest within the left liver measures 2.5 x 2.1 x 2.0 cm. Main portal vein flow is hepatopetal and measures 0.1 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 8 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 10.5 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 11.5 cm in length. No evidence of hydronephrosis.The spleen measures 8.5 cm in length.
Multiple cystic lesions within both hepatic lobes, some of which are septated.