Reason: Evaluate for possible sources of infection LIVER: The liver measures 18.9 cm in length. The liver parenchymal echotexture is normal. In the right hepatic lobe, there is a cyst measuring 3.3 x 2.3 cm which appears to contain thin internal septations and is similar in size to 2007 CT. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.35 m/s.BILIARY TRACT: The gallbladder is surgically absent. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 2.5 mm in diameter.PANCREAS: The pancreas is largely obscured.SPLEEN: The spleen is enlarged and measures 16.0 cm in length. RIGHT KIDNEY: Kidney measures 11.8 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 12.3 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted.
1.No forthcoming cause of infection identified as clinically questioned.2.Splenomegaly.3.Hepatic cyst appearing similar to 2007 CT.