Possible hepatitis C and thrombocytopenia with edema LIVER: 6.1 x 4.1 x 5.2 cm heterogeneous solid mass arising from segments 2/3 left lobe of the liver. Multiple well-circumscribed bilobar echogenic foci; the largest within the right lobe measures 3.2 x 3.6 x 3 cm.Background liver demonstrates normal morphology without cirrhosis. Limited main portal vein Doppler interrogation demonstrates a patent main portal vein with normal directional flow.BILIARY TRACT: Gallbladder sludge without acute inflammation or ductal dilatation.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. 11.5 cm in lengthRIGHT KIDNEY: Echogenic parenchyma without mass, stone, or hydronephrosis. Right kidney 8.1 cm in length. OTHER: Echogenic left renal parenchyma without mass, stone, or hydronephrosis. Left kidney 9 cm in length. No ascites.
Heterogeneous mass arising from left lobe of the liver; a malignant etiology, either primary or metastatic, must be considered. Would recommend correlation with contrast CT examination.Multiple bilobar well-circumscribed echogenic foci; favor hemangiomas.Background liver morphology unremarkable. Gallbladder sludge without acute inflammation or ductal dilatation. No ascites.Echogenic kidneys consistent with medical renal disease/parenchymal dysfunction without mass, stone, or hydronephrosis.Results communicated to Dr. Frohne 12/20/2016; 13:30.