74-year-old female patient with autoimmune hepatitis. Evaluate for cirrhosis and portal hypertension. LIVER: The liver measures 14.4 cm in length and demonstrates mildly increased echogenicity and coarsened hepatic echotexture. There are multiple bilobar hepatic cysts with the largest within the left hepatic lobe measuring 1.2 x 1.0 x 1.5 cm. Main portal vein flow is hepatopetal and measures 0.3 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 3 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 9.9 cm in length. No evidence of hydronephrosis. There is a 1.7 x 1.7 x 2.1 cm hypoechoic lesion within the inferior pole of right kidney with a septation.OTHER: The left kidney measures 8.5 cm in length. No evidence of hydronephrosis.The spleen measures 9.9 cm in length.
1. Mildly increased hepatic echogenicity, likely representing chronic liver disease, without suspicious lesion. Bilobar hepatic cysts are identified.2. Minimally complex right lower pole renal cyst.