62-year-old female patient with bloating with occasional constipation. Decreased appetite. History of scleroderma. Evaluate for intra-abdominal pathology. LIVER: The liver measures 15.5 cm in length and demonstrates increased parenchymal echogenicity with small focal areas of hypoechogenicity near the portal venous structures. There is a 0.7 x 0.6 x 0.6 cm left hepatic lobe cyst. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. Sonographic Murphy's sign is negative. 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 10.8 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 11.1 cm in length. No evidence of hydronephrosis.The spleen measures 7.1 cm in length.No ascites.
1. Increased hepatic echogenicity consistent with hepatic steatosis with focal areas of sparring. 2. Left hepatic cyst. 