57-year-old male with a history of hepatitis to follow up gallbladder polyps. LIVER:Measures 16.5 cm. Increased echogenicity of the parenchyma. No focal masses, ascites, or intrahepatic biliary dilatation. The portal vein is patent with normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: The gallbladder is nondistended with an anechoic lumen. There are numerous foci within the lumen inferior to the wall that are nondependent, consistent with gallbladder polyps. The largest of these measures approximately 0.6 x 0.4 x 0.6 cm which is an interval increase in size.PANCREAS: Evaluation of the pancreas is limited due to overlying bowel gas.SPLEEN: Measures 8.8 cm without sonographic abnormalities.KIDNEYS: Right kidney measures 10.7 cm. Left kidney measures 11.5 cm. Normal echogenicity. No shadowing calculi, hydronephrosis, or focal mass. OTHER: No significant abnormality noted.
1. Multiple gallbladder polyps as described above. There is been an interval increase in the largest polyp now measuring approximately 0.6 x 0.4 x 0.6 cm.2. Increased echogenicity of the liver consistent with chronic liver disease/parenchymal dysfunction. No focal masses or ascites.