Reason: evaluate cause of elevated LFTs History: elevated LFTs, acute myelogenous leukemia. LIVER: The liver measures 23.1 cm in length. The liver parenchymal echotexture is normal. There is a round, predominantly hyperechoic circumscribed lesion within the left lobe of the liver measuring 1.2 x 1.4 x 1.2 cm. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.26 m/s.BILIARY TRACT: The gallbladder appears contracted without evidence of cholelithiasis. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3.5 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 12.9 cm in length. RIGHT KIDNEY: Kidney measures 12.9 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 12.8 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: Bilateral pleural effusions.
1.Hepatomegaly.2.1.4 cm hyperechoic lesion within the left hepatic lobe which is nonspecific, but favor benign etiology such as a hemangioma.3.Pleural effusions. 