Female 62 years old Reason: cirrhosis of liver? History: chronic hepatitis B, chronic hepatitis C LIMITED ABDOMENLIVER: . Liver measures 16 cm in length. The parenchyma is echogenic. No sonographically evident lesions.BILIARY TRACT: No biliary dilatation. Status post cholecystectomy.PANCREAS: Visualized portions are unremarkable. KIDNEYS: The right kidney measures 9 cm. The cortex is of normal echogenicity . No shadowing calculi or hydronephrosis is present. The left kidney measures 10 cm. The cortex is of normal echogenicity. No shadowing calculi or hydronephrosis is present. 2.7-cm renal hypocholic cystic lesion is difficult to visualize clearly, but likely a cyst.SPLEEN: The spleen measures 9 cm. in length. OTHER: No significant abnormalities noted.
1.Echogenic liver is nonspecific, but can be seen in diffuse infiltrative disease or fatty liver. This limits evaluation for focal hepatic lesions. If indicated, MRI can be useful to further evaluate the liver.2.2.7-cm probable cyst in the left kidney as described above. This can also be definitively characterized on the MRI if indicated.