Reason: h/o liver cyst s/p drainage please evaluate for cyst History: rare RUQ pain LIVER: The liver measures 15.8 cm in length, decreased from previously. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. Multiple hepatic cysts are again noted, some of which demonstrate minimal internal complexity such as thin septations. The previously described largest right lobe cyst is no longer visualized. The largest currently is in the right lobe measuring up to 12.4 x 11.8 x 10.6 cm, similar to prior. Additional smaller cysts are present in the right and left hepatic lobes. The previously seen left hepatic lobe cystic lesion with internal complex contents is no longer visualized. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.19 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 9.6 cm in length. RIGHT KIDNEY: Kidney measures 11.2 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 10.9 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted.
1.Decrease in number of hepatic cysts following drainage as described above. The largest cyst currently is in the right hepatic lobe measuring up to 12.4 cm.2.Increased hepatic echogenicity suggestive of fatty infiltration/parenchymal dysfunction.