History of nonalcoholic steatohepatitis. History of kidney cancer status post partial nephrectomy. Gallbladder polyp. LIVER: The liver is heterogeneous coarse and echogenic, limiting evaluation for a discrete lesion. Note is made of a 1.5 cm septated cyst, unchanged. No focal suspicious lesion. No intrahepatic biliary ductal dilatation. It measures 18.5 cm in length. Normal hepatopedal portal venous blood flow at 22 cm/s.BILIARY TRACT: No extrahepatic biliary ductal dilatation with the common duct measuring 3 mm.Normally distended gallbladder. There are 2 non-shadowing avascular nonmobile sessile foci one of them measuring 8 mm and the other measuring 5 mm.No shadowing gallstones, wall thickening, pericholecystic fluid or focal tenderness.PANCREAS: The visualized portions of the pancreatic head and body are unremarkable. The distal body and tail are obscured by overlying bowel gas.SPLEEN: The spleen measures 8.5 cm without a focal lesion.RIGHT KIDNEY: The right kidney measures 9.5 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion. The cortex is echogenic. Contour changes from partial nephrectomy.OTHER: The left kidney measures 10.5 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion. The cortex is echogenic.
1. Heterogeneous coarsened echogenic liver parenchyma may reflect fatty infiltration and/or parenchymal dysfunction. No focal suspicious lesion.2. Two subcentimeter non-shadowing avascular nonmobile sessile gallbladder foci. Differential considerations include multiple polyps, non-shadowing adherent gallstones and/or sludge. Continued follow-up is suggested.3. Findings suggestive of medical renal disease.