62-year-old male patient with history of hepatitis C and hepatitis B infection. Question of any virally induced damage to liver. Transplant evaluation for emphysema. LIVER: The liver measures 15.3 cm in length. There is a 1.3 x 0.7 x 0.8 cm anechoic lesion within the left hepatic lobe consistent with a cyst. GALLBLADDER, BILIARY TRACT: There are a few subcentimeter non-shadowing echogenic foci within the gallbladder but no gall bladder wall thickening or pericholecystic fluid. Common tail artifact within gallbladder wall is consistent with adenomyomatosis. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 2 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 11.1 cm in length. No evidence of hydronephrosis. A 0.7 x 0.5 x 0.7 right lower pole renal cyst is noted.OTHER: The left kidney measures 10.1 cm in length. No evidence of hydronephrosis.The spleen measures 8.4 cm in length.
1. Left hepatic cyst and right renal cyst.2. Subcentimeter non-shadowing echogenic foci within the gallbladder may represent small polyps or non-shadowing gallstones. Adenomyomatosis of the gallbladder.