59-year-old female with gallbladder polyp. Follow-up exam. LIVER: Coarse echogenic liver parenchyma. In the anterior left hepatic lobe, there is a 1.5 x 0.7 x 1.2 cm hypoechoic focus with faint posterior acoustic enhancement. This focus correlates with a known cyst seen on the 3/18/2016 MRI abdomen exam. The liver measures 14.2 cm in length. The main portal vein demonstrates normal direction and flow measuring 21.3 cm/s.BILIARY TRACT: The common hepatic duct measures 1.7 mm. The gallbladder is partially distended with no shadowing echogenic stones or wall thickening. The previously described 0.3 x 0.2 cm echogenic focus of the gallbladder wall compatible with a small polyp is unchanged.PANCREAS: The visualized aspect of the pancreas is unremarkable. Incomplete visualization of the distal body and tail due to overlying bowel gas.SPLEEN: The spleen measures 8.4 cm in length. Normal echogenicity.RIGHT KIDNEY: The right kidney measures 11.1 cm in length. Normal echogenicity of the renal parenchyma. No hydronephrosis. OTHER: The left kidney measures 10.4 cm in length. No hydronephrosis. In the left upper renal pole, there is a 0.6 x 0.8 x 0.7 cm well-circumscribed echogenic focus not clearly identified on the prior ultrasound exam.
1. Coarse echogenic hepatic parenchyma suggestive of chronic parenchymal dysfunction. Stable small cyst of the left hepatic lobe.2. Stable subcentimeter gallbladder polyp.3. Subcentimeter echogenic focus of the left upper renal pole not clearly seen on the prior ultrasound. This could represent a small angiomyolipoma.