Painless jaundice with a large liver LIVER: No obvious discrete liver mass. Liver length 18.5 cm.GALLBLADDER, BILIARY TRACT: Severe bilobar intrahepatic ductal dilatation associated with severe extrahepatic ductal dilatation. Debris versus tumor within the extrahepatic duct noted. Associated with large porta hepatis mass measuring approximately 4.6 x 3 x 3 cm.PANCREAS: Atrophy of pancreatic body. The pancreas head is not well visualized due to overlying gas.RIGHT KIDNEY: Echogenic parenchyma with multiple cysts. No stone, worrisome mass, stone, or hydronephrosis. Right kidney 9.6 cm in length.OTHER: No ascites. Spleen 7.7 cm in length.
Severe bilobar intrahepatic as well as extrapelvic biliary dilatation secondary to obstruction by large porta hepatis mass. Differential diagnosis includes malignancy either of pancreatic or biliary origin. Would recommend correlation with dedicated cross-sectional imaging.Echogenic renal parenchyma suggestive for medical renal disease/parenchymal dysfunction without worrisome mass, stone, or obstruction.Dr. Woodruff notified of findings 2/13/2015; 11:30 am.