54 year old female with right upper quadrant pain. Evaluate for liver mass, cholelithiasis. LIVER: Normal echogenicity of the liver measuring 14.4 cm in length. Multiple cysts are again seen, the largest in the right lobe lobe measures 3.0 cm x 2.6 cm x 2.9 cm not significantly changed. No suspicious hepatic lesions. Portal vein is patent with appropriate directional flow; peak velocity at 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Normal echogenicity gallbladder. No gallbladder wall thickening. No pericholecystic fluid. Sonographic Murphy's sign is negative. Common bile duct measures 4 mm in caliber with no intra-or extrahepatic biliary ductal dilatation.PANCREAS: Normal echogenicity of the visualized pancreas. No pancreatic ductal dilatation.RIGHT KIDNEY: Normal echogenicity of the right kidney measuring 10.1 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Normal echogenicity of the spleen measuring up to 9.0 cm in length. An adjacent isoechoic round lesion measures 1.8 cm x 1.6 cm x 1.8 cm likely a splenule.Normal echogenicity of the left kidney measuring 10.8 cm in length. No hydronephrosis or shadowing calculi are noted.
Liver cysts not significantly changed. No evidence of cholelithiasis or cholecystitis.