69 year-old female with encephalopathy status post TIPS LIMITED ABDOMENLIVER: Heterogeneous echotexture with nodular contour measuring 17.5 cm in length. There is a hypoechoic lesion in the deep hepatic lobe which was not seen on prior study.BILIARY TRACT: Status-post cholecystectomy. Common duct measures 1.0 cm in caliber likely related to cholecystectomy. No intrahepatic biliary ductal dilatation.PANCREAS: Not well visualized due to overlying bowel gas.SPLEEN: Normal echogenicity of the spleen measuring 15.3 cm in length.RIGHT KIDNEY: Measures 10.7 cm in length. Cyst at the upper pole measures 3.5 cm x 3.2 cm x 3.6 cm. No hydronephrosis or shadowing calculi is noted.OTHER: Left kidney measures 10.9 cm in length. No hydronephrosis or shadowing calculi are noted.No ascites.
1. Cirrhotic liver morphology. Hypoechoic lesion in the deep right hepatic lobe is suspicious for an infarct, however cannot exclude a mass in this region. Recommend dedicated liver CT study for further evaluation.2. Patent TIPS with expected hepatofugal flow in the left portal vein. No ascites. 3. Right renal cyst not significantly changed. Findings were discussed with Dr. Laura Carlson by phone on 4/2/2015 9:20 a.m..