Reason: evaluate liver to r/o masses vs cirrhosis History: elevated transaminases LIVER: The liver measures 20.6 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified, including at the site of the segment 3 subcentimeter hypoattenuating lesion described on 2014 CT. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.26 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. There is mild proximal intrahepatic biliary ductal dilatation as well as dilation of the common bile duct up to 12 mm which tapers distally and appears grossly similar in configuration to the 2014 CT. PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures approximately 9 cm in length. RIGHT KIDNEY: Kidney measures 10.7 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 10.8 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted.
1.Mild hepatomegaly. No focal hepatic lesions identified. 2.No evidence of acute cholecystitis.3.Prominence of the proximal intrahepatic ducts and common bile duct appearing grossly similar in configuration to 2014 CT. If there is clinical concern for biliary obstruction, additional imaging (such as MRCP) may be considered as clinically warranted.