Narrative
Ultrasound abdomen, complete
History: 59-year-old male with elevated liver function tests. Previous cholecystectomy.
Comparison: None.
Findings:
Liver: Diffusely increased echogenicity compatible with fibrofatty change. Liver is of normal size measuring 16.9 cm longitudinal dimension.
Gallbladder: Surgically removed
Bile ducts: No dilatation. Common bile duct measures 2.2 mm.
Pancreas: Not well seen
Spleen: Upper limits of normal for size. 13 cm longitudinal dimension. No focal abnormality seen.
Kidneys: Limited views show no hydronephrosis. There is a 1.5 cm cyst in the right kidney and a 1.2 cm cyst in the left kidney.
IVC: Intrahepatic portion normal
Aorta: Visualized portions normal.
Dictating Workstation: HMINWKS10
History: 59-year-old male with elevated liver function tests. Previous cholecystectomy.
Comparison: None.
Findings:
Liver: Diffusely increased echogenicity compatible with fibrofatty change. Liver is of normal size measuring 16.9 cm longitudinal dimension.
Gallbladder: Surgically removed
Bile ducts: No dilatation. Common bile duct measures 2.2 mm.
Pancreas: Not well seen
Spleen: Upper limits of normal for size. 13 cm longitudinal dimension. No focal abnormality seen.
Kidneys: Limited views show no hydronephrosis. There is a 1.5 cm cyst in the right kidney and a 1.2 cm cyst in the left kidney.
IVC: Intrahepatic portion normal
Aorta: Visualized portions normal.
Dictating Workstation: HMINWKS10
Impression
Ultrasound findings compatible with fibrofatty change within the liver. No focal abnormality.
Status post cholecystectomy.
Small bilateral renal cysts.
Borderline splenomegaly.
Status post cholecystectomy.
Small bilateral renal cysts.
Borderline splenomegaly.
Meet with the doctor next Tuesday!
Starting on Fatty Liver Disease! and Kidney Cysts!
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