90 year-old female with transaminitis postop. Evaluate portal vein and liver and for obstructive nephropathy. LIVER: Increased in echogenicity measuring 14.2 cm in length. No focal hepatic lesions. Portal vein is patent with appropriate directional flow; peak velocity measures 0.4 m/sec.GALLBLADDER, BILIARY TRACT: Status post cholecystectomy. Common hepatic duct measures 8 mm in caliber with diffuse prominence of the intrahepatic biliary ducts. No common duct dilatation. PANCREAS: Incompletely visualized. SPLEEN: Not well visualized.KIDNEYS: Right kidney measures 15.1 cm in length. Cyst at the upper pole measures 8.3 cm x 6.8 cm x 8.1 cm. No hydronephrosis or shadowing calculi are noted.Left kidney incompletely visualized containing multiple cysts, the largest of which measures approximately 7.2 cm x 5.3 cm x 6.0 cm. No definite hydronephrosis or shadowing calculi are noted.ABDOMINAL AORTA: Patent with appropriate direction of flow. The proximal aorta measures 2.6 cm x 2.3 cm x 1.9 cm. The mid aorta measures 1.9 cm x 1.9 cm x 1.6 cm.INFERIOR VENA CAVA: The visualized IVC is patent with appropriate directional flow.OTHER: No significant abnormality noted.
1. Increased echogenicity of the liver suggestive of parenchymal dysfunction/fatty infiltration. There is diffuse prominence of the intrahepatic biliary ducts with normal caliber of the common hepatic duct suggestive of hepatic hilar mass/masses or stricture. Recommend CT or MRI for further evaluation. 2. Bilateral renal cysts. 