Elevated LFTs, left flank pain, suprapubic pain. LIVER: The liver measures 19.7 cm in length, this is mildly enlarged. There is some mild increase in echogenicity within the liver. Adjacent to the gallbladder there is an area of decreased echogenicity which may represent focal fatty sparing. This measures 2 cm x 1.3 cm x 1.7 cm. No worrisome masses are noted within the liver, and there is no intrahepatic ductal dilation seen. The portal vein is patent with hepatopetal flow measuring 27.1 cm/s. No ascites is seen. BILIARY TRACT: There is a nonmobile subcentimeter polyp seen along the gallbladder wall that measures 0.4 cm x 0.2 cm x 0.5 cm. There is another smaller subcentimeter nonmobile polyp is seen along the gallbladder wall. No stones are seen and very minimal sludge. The gallbladder wall measures 0.1 cm, which is normal. Negative sonographic Murphy sign. The common bile duct measures 0.2 cm.PANCREAS: No significant abnormalities noted.SPLEEN: The spleen measures 8.7 cm in length. No significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 12.1 cm in length. The cortex is normal in echogenicity. There is no hydronephrosis seen, and no stones. No worrisome masses are seen within the right kidney. LEFT KIDNEY: The left kidney measures 11.7 cm in length. The renal cortex is normal echogenicity. No hydronephrosis, stones, or worrisome masses are noted within the left kidney.
1. The liver is mildly enlarged with a slight increase in echogenicity compatible with fatty liver/parenchymal dysfunction. No worrisome masses or intrahepatic ductal dilation are seen. No ascites. However there is a hypoechoic area adjacent to the gallbladder that probably represents focal fatty sparing.2. Two nonmobile subcentimeter polyps are visualized along the gallbladder wall. No evidence of cholelithiasis or acute cholecystitis.