腹部超音波報告：疑似慢性肝實質疾病、膽沙和結石、血管肌脂瘤及兩側腎臟鈣化點-肝膽腸胃科

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Findings: Poor imaging because of a lot of gases in the intestinal loops block some imagings 1. Liver: Size — normal, echo pattern — slight brightness and heterogenous, surface: smooth, vessels: slight ill defined 2. Intrahepatic duct: Normal 3. Gall bladder: Fundus region — not well detected, size — normal, wall thickness — normal, no peri—gall bladder fluid collection Focal hyperechoic egg—shell like lesion about 1.51 cm, also few echogenicity were noted in neck region 4. Common bile duct: Diameter — 0.42 cm was noted in proximal portion 5. Portal system: Normal diameter 6. Pancreas: No focal dilated pancreatic duct was noted in body portion 7. Spleen: Not well detected whole spleen, visible longest diameter — 6.68 cm was noted 8. Kidneys: Right: Size — 9.88 cm in longest diameter Corticomedullary junctions — well defined, no hydronephrosis Few focal hyperechoic echopatterns were noted including 0.89 cm in cortical region, middle portion and 0.94 cm in middle portion Left: Size — 8.88 cm in longest diameter Corticomedullary junctions — well defined, no hydronephrosis Few focal hyperechoic echopatterns were noted including 1.13 cm in upper portion and 0.66 cm in cortical region, middle portion 9. Ascites: Nil 10. Others: Visible abdominal aorta ＆ IVC appear normal, mild urines were noted inside the urinary bladder Sono Diagnosis: 1. Fatty liver — mild (輕度脂肪肝) 2. Suspect chronic liver parenchymal disease (疑似慢性肝實質疾病) 3. Suspect gall bladder sludge and stone (疑似膽沙和結石) 4. Focal hyperechoic echopatterns in both kidneys (雙側腎臟內局部高回音) — Suspect angiomyolipomas — (疑似血管肌脂瘤) — Suspect calcified lesions in both kidneys (疑似兩側腎臟鈣化點) Advice or comment: Please see detail description Follow up closely Furthe 麻煩幫忙翻譯這份報告, 膽和腎是否有問題? 謝謝!

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jen，60~69歲女性，詢問日期：2026/03/25