78-year-old male with thrombocytopenia evaluate for liver or splenic enlargement. LIVER:The liver measures 16.4 cm in length. No worrisome masses are seen. No intrahepatic ductal dilation. No ascites. The portal vein is patent with hepatopedal flow measuring 34.2 cm/s.GALLBLADDER, BILIARY TRACT: The gallbladder is completely shadowed due to presumed the cholelithiasis. The gallbladder wall measures 2.5 mm. No pericholecystic fluid is seen. The common bile duct measures 3.4 mm.PANCREAS: The pancreas is partially obscured with bowel gas. No significant abnormality noted.SPLEEN: The spleen measures 13.9 cm in length. There is an anechoic cyst within the spleen measuring 2.2 cm x 2.3 cm x 2.2 cm.RIGHT KIDNEY: The right kidney measures 10.8 cm in length. At the right superior pole there is a anechoic cyst measuring 1.6 cm x 1.2 cm x 1.8 cm. No other significant abnormalities are noted. LEFT KIDNEY: The left kidney measures 12.7 cm in length. At the superior portion of the left kidney there is a anechoic cyst measuring 2.2 cm x 2.9 cm x 2.1 cm. No other significant abnormalities are noted.
1. The liver appears normal, however there is presumed cholelithiasis due to shadowing that fills the gallbladder fossa. No signs of acute cholecystitis are seen.2. The spleen is prominent with a simple cyst.