57 year-old female with a history of gradual increase in abdominal appearance. Rule out ascites. LIVER: Mild hepatomegaly. Increased echogenicity if the liver is nonspecific but can be seen in hepatic steatosis. The liver measures 17.4 cm in length. The liver contour is smooth. Portal vein flow is hepatopetal.BILIARY TRACT: Note is made of a 1.4 cm dependent gallstone in the body of the gallbladder without evidence of acute cholecystitis.PANCREAS: The pancreas is partially obscured by overlying bowel gas.SPLEEN: No significant abnormalities noted.RIGHT KIDNEY: Note is made of a 4.9 x 4.8 x 4.2 cm cyst in the superior pole of the left kidney, with associated septation and peripheral nodularity. There is no internal vascularity.OTHER: No significant abnormalities noted.
1. No evidence of ascites, as clinically questioned.2. Complex cyst in the left kidney with peripheral nodularity and septation. Further evaluation with a dedicated renal CT protocol is recommended.3. Mild hepatomegaly. Increased echogenicity if the liver is nonspecific but can be seen in hepatic steatosis. 4. Gallstones without evidence of acute cholecystitis.