Male 67 years old Reason: new heart failure, elevated liver enzymes History: le swelling LIVER: Liver measures 16 cm. No focal liver lesions. Hepatic veins and IVC are dilated likely secondary to congestive heart failure.BILIARY TRACT: Gallbladder is contracted, therefore cannot be optimally evaluated. No evidence of intra or extrahepatic biliary dilatation.PANCREAS: Not well visualized due to overlying bowel gas.SPLEEN: No significant abnormalities noted. Spleen measures 7 cm.RIGHT KIDNEY: Both kidneys are echogenic. No evidence of hydronephrosis. 1.1 cm simple cyst in the right kidney.There is a 2.2 x 3 cm cyst with thick septations in the upper pole of the left kidney. Further evaluation of this lesion with renal mass protocol CT or MRI is recommended. OTHER: Bilateral small pleural effusions and trace ascites.
Bilateral echogenic kidneys compatible with medical renal disease.Complex left renal cyst. Further evaluation with renal mass protocol CT or MRI is recommended.Bilateral small pleural effusions and trace ascites.