Female; 63 years old. Reason: of biliary tree, mid-epigastric and right upper quadrant pain, evaluate biliary tree LIVER: The liver measures 15.9 cm in length. The liver contour is smooth, the parenchyma demonstrates a coarsened echogenicity. There is no focal hepatic lesion identified. The main portal vein is patent with hepatopetal flow and a peak velocity of 0.2 m/sec.BILIARY TRACT: The gallbladder is normal in appearance. There is no cholelithiasis, gallbladder wall thickening or pericholecystic fluid. The common duct measures 4 mm in diameter. There is no intrahepatic biliary ductal dilatation.PANCREAS: The head and body of the pancreas are unremarkable. The tail is obscured by overlying bowel gasSPLEEN: The spleen measures 7.2 cm in length.RIGHT KIDNEY: The right kidney measures 10.1 cm in length. Left kidney measures 10.8 cm in length. The cortex is increased in echogenicity. There is no hydronephrosis or shadowing renal stone. LEFT KIDNEY: Left kidney measures 10.8 cm in length. The cortex is increased in echogenicity. There is no hydronephrosis or shadowing renal stone. Two cysts are seen within the lower pole of the kidney. The largest measures 2.4 x 1.9 x 2.0 cm (previously measured 3.5 x 2.1 x 2.5 cm) and is minimally complex. The second cyst is simple in appearance and measures 1.3 x 1.2 x 1.1 cm.OTHER: No significant abnormalities noted.
1.Coarsened liver echotexture without focal hepatic lesion.2.No cholelithiasis or biliary ductal dilatation.3.Echogenic kidneys bilaterally compatible with medical renal disease.4.Minimally complex left lower pole kidney cyst measures smaller on the current study which may be to technical differences and the lobulated configuration of the lesion.