63-year-old male with hyperbilirubinemia and history of AML status post stem cell transplant, assess for obstruction LIMITED ABDOMENLIVER: The liver measures 19.0 cm in length. There is coarse increased echogenicity within the liver. There is round area of hypoechogenicity adjacent to the gallbladder likely representing an area of focal fatty sparing. There is a trace amount of free fluid of the lower pole of the right lobe of the liver.BILIARY TRACT: The gallbladder wall measures 2.8 mm. There is no stones or significant sludge within the gallbladder. The common bile duct measures 4.3 mm. PANCREAS: No significant abnormalities noted.SPLEEN: The spleen measures 12.3 cm in length. No significant abnormalities are noted. RIGHT KIDNEY: The right kidney measures 10.9 cm in length. The cortex is normal in echogenicity. There is no hydronephrosis, stones, and no worrisome mass is apparent.LEFT KIDNEY: The left kidney measures 10.9 cm in length. The cortex is of normal echogenicity. There is no hydronephrosis or stones present, no worrisome mass. There is a cyst located in the upper pole of the left kidney measuring 2.8 cm x 2.0 cm.
1. Coarse increased echogenicity within the liver is compatible with fatty liver or parenchymal dysfunction.2. Portal venous system, hepatic arteries, hepatic vein, and inferior vena cava are patent with appropriate flow.