Liver - normal size, coarse echotexture. 2 hypoechoic lesions in right lobe - approximately 4.7 cm and 2.8 cm across, possibly metastases or abscesses.
The gallbladder contains many stones but does not appear inflamed.
Intra- and extrahepatic bile ducts not distended.
Spleen - normal size. Large cystic structure measuring 7.2 cm across with internal sediment.
Recommended characterization of liver lesions and splenic cystic lesion with multiphasic liver CT.