53 years old, Female, Reason: 53 yr old female with Stage IIIC Ovarian Cancer; known gastohepatic, mesenteric, periaortic, and retroperitoneal lymph nodes. Assess for cancer related symptoms vs. other GI etiology History: Upper abdominal fullness, acid reflux, LUQ pain, along with elevated LFT's and rising CA125. LIVER: The liver measures 19.1 cm in length. The liver parenchyma is mildly echogenic suggesting fatty infiltration. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of .3 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: History of splenectomy.RIGHT KIDNEY: Kidney measures 12.7 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 11.8 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted.
1.Hepatic steatosis.2.No specific findings to account for the patient's left upper quadrant pain.