Right upper quadrant pain and leukocytosis LIVER: Coarse echogenic liver echotexture without mass. Liver length 7.2 cm.GALLBLADDER, BILIARY TRACT: Cholelithiasis without acute inflammation or ductal dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 11.8 cm in length.OTHER: 2.3 x 1.6 x 2.1 lesion arising from the midportion of the left kidney with heavily calcified rim. Left kidney 12.1 cm in length. Spleen not visualized. No ascites.
Echogenic liver suggestive for fatty infiltration/parenchymal dysfunction without mass or ductal dilatation. Cholelithiasis without acute inflammation.Left renal lesion with heavily calcified rim of unclear significance. Given the patient's body habitus and inability to have a CT exam, would recommend surveillance follow-up via ultrasound.