58-year-old female with history of right upper quadrant pain, abnormal liver enzymes. Evaluate for biliary obstruction. LIVER: Measures 24.0 cm in length. Innumerable hypoechoic lesions throughout the liver. Patent portal vein with antegrade flow. BILIARY TRACT: No cholelithiasis. Partially collapsed gallbladder without pericholecystic fluid or biliary ductal dilation. PANCREAS: The pancreas is incompletely imaged due to bowel gas. The imaged portions of the pancreas appear unremarkable. SPLEEN: Incompletely visualized due to bowel gas. KIDNEY: No hydronephrosis, nephrolithiasis, or solid mass. OTHER: No significant abnormalities noted.
Innumerable hepatic lesions highly suspicious for metastatic disease given the clinical history, please see separately dictated MRI examination for further characterization. No evidence of biliary obstruction as clinically questioned.