lavuutnumanquinu RANGKON HOSPITAL Ultrasound Report Date: Feb 2016 Name Hu sec 1ntu(Malo] Department.n Gastroenterologs(3A) HN 02.06 020432 Request Doctor Report By Utrasound Upper abdomen HISTORY Epigastrc pain with jaundce and weight loss about 5 kg in 2 weeks. COMPARISON None FINDINGS Uver Normal size There are two wel deened round shape ypoechoic lesons with minimal iregular inner wan at len hepatic lobes measunng about 67.6856 cm and 35d Tx44 cm in size Aner color us, there is no demonstrable intermal tow ouster of small hypoechoc iesions unoandng the larger leson am also observed. No evidence of cirfoses or subcapsular retraction. Bauary system Common ble duct and intrahepatc duct are not diato Gallbladder Partiany distended No stone or mass. Spleen Normal in size. Pancreas Visualzed portions aro unremarkable. Kdneys Normal size and parenchymai echogenicity of both kidneys Tho right and let kidney measures about 11.1x4 4x5.2 cm and 11x6 26,1 cm in size, respectively No stone, hydronephrosis or sold mass Aorta Normal caliber. Peritoneum No free fuld. LN: No demonstrable intra abdominal lymphadenopathy. IMPRESSION Two well defined hypoechoic lesions with adjacent chuster of small cystc lesions at left hepatic lobe: details as described, suggestive of pyogenic kwer abscesses. Dox Necrotc tumor but less-likely. Tissue biopse and pus culture for definite diagnosis are advised. Otherwise; unremarkable. Page